MARIAH KAY JACKS

MYRTLE BEACH, SC
NPI1346711785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  3100)
Enumeration Date2018-12-11
Last Update Date2024-08-28
Business Address
MARIAH KAY JACKS PA-C
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1000
Mailing Address
MARIAH KAY JACKS PA-C
PO BOX 23321
NEW YORK, NY 10087-4321
Phone number: