RICHARD ALBERT JACOB

WEST COLUMBIA, SC
NPI1720530934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  2671)
Enumeration Date2016-11-04
Last Update Date2020-11-06
Business Address
RICHARD ALBERT JACOB PA-C
2728 SUNSET BLVD STE 400
WEST COLUMBIA, SC 29169-4839
Phone number: 803-936-7095
Mailing Address
RICHARD ALBERT JACOB PA-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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