Dwayne Aubrey Jacobus in Columbia - Primary Podiatric Medicine
Dwayne Aubrey Jacobus - NPI 1295726172
Dwayne Aubrey Jacobus is a Primary Podiatric Medicine in Columbia, South Carolina. Dwayne Aubrey Jacobus practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Dwayne Aubrey Jacobus is 1295726172. The last update date is 2023-03-07.
Dwayne Aubrey Jacobus's current location address is 169 Laurelhurst Ave, Columbia, South Carolina. You can contact this provider via phone number 8037335969 and fax number 8037535591. The mailing address for Dwayne Aubrey Jacobus is 169 Laurelhurst Ave, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Aubrey Jacobus |
|---|---|
| Address | 169 Laurelhurst Ave, Columbia, South Carolina |
| Phone Number | 8037335969 |
| Fax Number | 8037535591 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1295726172 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 169 Laurelhurst Ave |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292103825 |
| Phone Number | 8037335969 |
| Fax Number | 8037535591 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 847 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| T14910A | TN | MEDICARE TN | |
| PD5658 | SC | -- | |
| Q058390 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dwayne Aubrey Jacobus by the Centers for Medicare & Medicaid Services?
The Dwayne Aubrey Jacobus has been assigned the NPI (National Provider Identifier) 1295726172 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dwayne Aubrey Jacobus is physically located?
The Dwayne Aubrey Jacobus is situated at the following address: 169 Laurelhurst Ave, Columbia, SC 292103825.
What is Dwayne Aubrey Jacobus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dwayne Aubrey Jacobus is Primary Podiatric Medicine, and the corresponding taxonomy classification code for this specialized field is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295726172 to Dwayne Aubrey Jacobus?
The Centers for Medicare & Medicaid Services assigned the 1295726172 to Dwayne Aubrey Jacobus on 2005-10-31.
When was the Dwayne Aubrey Jacobus's information last updated?
The Dwayne Aubrey Jacobus's information was last updated on 2023-03-07.
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