DWAYNE AUBREY JACOBUS

COLUMBIA, SC
NPI1295726172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: SC  565)
Additional Taxonomies213E00000X Podiatrist
(Licence: SC  565)
213E00000X Podiatrist
(Licence: TN  847)
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: TN  847)
213ES0131X Podiatrist, Foot Surgery
(Licence: TN  847)
213ES0131X Podiatrist, Foot Surgery
(Licence: SC  565)
Enumeration Date2005-10-31
Last Update Date2023-03-07
Business Address
Dr. DWAYNE AUBREY JACOBUS D.P.M.
3800 N MAIN ST STE B
COLUMBIA, SC 29203-6446
Phone number: 803-705-3172
Mailing Address
Dr. DWAYNE AUBREY JACOBUS D.P.M.
169 LAURELHURST AVE
COLUMBIA, SC 29210-3825
Phone number: 803-733-5969