Alexis Jacobs

NPI #1003417585 in Columbia, South Carolina

Provider Information

NPI Number
1003417585
Entity Type
Individual
Name
Alexis Jacobs
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Nov 3, 2020
Last Updated
Nov 3, 2020

Practice Location

Address
100 MONDAMIN RD
ZIP Code
29210-8216
Phone
(803) 479-7696

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Non-emergency Medical Transport (VAN)
Clinic/Center - Health ServiceHealth Service

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