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1760471130
WILLIAM A. JACKSON
MYRTLE BEACH, SC
NPI
1760471130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: SC 21136)
Enumeration Date
2005-10-19
Last Update Date
2017-01-20
Business Address
-- WILLIAM A. JACKSON MD
945 82ND PKWY STE 3B
MYRTLE BEACH, SC 29572-4612
Phone number: 843-839-1201
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Mailing Address
-- WILLIAM A. JACKSON MD
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-839-1201
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