JACOB STANDARD

GREENWOOD, SC
NPI1730703364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  84468)
Enumeration Date2020-05-29
Last Update Date2022-01-06
Business Address
JACOB STANDARD MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4865
Mailing Address
JACOB STANDARD MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number:
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