MYIA MCKENZIE JACKSON

WEST COLUMBIA, SC
NPI1760351050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2025-11-04
Last Update Date2025-11-04
Business Address
MYIA MCKENZIE JACKSON
134 ADAMS TERRACE CT
WEST COLUMBIA, SC 29172-2600
Phone number: 803-397-1231
Mailing Address
MYIA MCKENZIE JACKSON
134 ADAMS TERRACE CT
WEST COLUMBIA, SC 29172-2600
Phone number: 803-397-1231
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