JACOB MICHAEL DUGAL

CHARLESTON, SC
NPI1376396630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  5366)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2024-04-08
Last Update Date2024-07-03
Business Address
JACOB MICHAEL DUGAL
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
JACOB MICHAEL DUGAL
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200