Individual
JACOB AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 WADE HAMPTON BLVD STE 120, TAYLORS, SC 29687-2758
(864) 609-7306
Mailing address
2801 WADE HAMPTON BLVD STE 120, TAYLORS, SC 29687-2758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43565
SC
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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