Individual
MRS. MARCELINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2900
(803) 576-2985
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2900
(803) 576-2985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576000286
—
SC
Enumeration date
07/08/2014
Last updated
07/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us