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1730703364
JACOB STANDARD
GREENWOOD, SC
NPI
1730703364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 84468)
Enumeration Date
2020-05-29
Last Update Date
2022-01-06
Business Address
JACOB STANDARD MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4865
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Mailing Address
JACOB STANDARD MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number:
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