Individual
AMIE MICHELLE JAKUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
735 MCMILLAN ROAD, CLEMSON, SC 29634-4054
(864) 656-2233
Mailing address
BOX 344054, CLEMSON, SC 29634-0001
(864) 656-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36179
SC
207Q00000X
Family Medicine Physician
5101015339
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361798
—
SC
Enumeration date
11/30/2005
Last updated
12/16/2025
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