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1881667897
MITCHELL WELLS JACOCKS
WEST COLUMBIA, SC
NPI
1881667897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: SC 20836)
Enumeration Date
2006-02-09
Last Update Date
2020-11-06
Business Address
Dr. MITCHELL WELLS JACOCKS MD
2728 SUNSET BLVD STE 300
WEST COLUMBIA, SC 29169-4815
Phone number: 803-744-4940
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Mailing Address
Dr. MITCHELL WELLS JACOCKS MD
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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