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1467019943
AMY R JACKSON
GREENWOOD, SC
NPI
1467019943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 82152)
Enumeration Date
2019-05-21
Last Update Date
2024-07-25
Business Address
AMY R JACKSON
1132 SPRING ST
GREENWOOD, SC 29646-3859
Phone number: 864-725-1680
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Mailing Address
AMY R JACKSON
104 WELLS AVE
GREENWOOD, SC 29646-3837
Phone number: 864-725-4673
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