Aundra Jackson
Prosthetic/Orthotic Supplier in Columbia, SC(View on Map)
Full Name
Aundra Jackson
NPI Number
1518733278
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/04/2023
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
494 BLUE GARDEN WAY
494 BLUE GARDEN WAY
City
Columbia
Columbia
State
SC
SC
Postal Code
29223-8052
29223-8052
Country
US
US
Telephone Number
N/A
(803) 271-1462
Health Information Exchange
Endpoint Type
OTHERS
Endpoint
2676338881
Endpoint Description
Blue Garden Way
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
494 Blue Garden WayColumbia, SC292238052US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/04/2023
Provider Address
Other Prosthetic/Orthotic Suppliers in Columbia, South Carolina:
Latoya Samuel HLPC, RC, RCI
Columbia, SCSpecialties: Prosthetic/Orthotic Supplier (Primary)Prosthetics Case Management