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1346711785
MARIAH KAY JACKS
MYRTLE BEACH, SC
NPI
1346711785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 3100)
Enumeration Date
2018-12-11
Last Update Date
2024-08-28
Business Address
MARIAH KAY JACKS PA-C
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1000
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Mailing Address
MARIAH KAY JACKS PA-C
PO BOX 23321
NEW YORK, NY 10087-4321
Phone number:
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