LISA CHANEL JACKSON

BEAUFORT, SC
NPI1912923996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: SC  33355)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: IL  036113699)
Enumeration Date2006-07-14
Last Update Date2024-08-22
Business Address
Ms. LISA CHANEL JACKSON M.D.
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902-6127
Phone number: 843-524-2466
Mailing Address
Ms. LISA CHANEL JACKSON M.D.
PO BOX 357
RIDGELAND, SC 29936-2605
Phone number: 843-987-7400