Charles Steven Jackson, PA-C

NPI #1649230715 in Seneca, South Carolina

Provider Information

NPI Number: 1649230715
Entity Type: Individual
Name: Charles Steven Jackson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 24, 2006
Last Updated: May 11, 2021

Practice Location

Address: 10630 CLEMSON BLVD
Address 2: STE 100
City: Seneca
State: South Carolina
ZIP Code: 29678-4546
Phone: (864) 482-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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