NPI 1528985959
Encouraged
Practice location
- Address
- 325 Lakeridge Pkwy, Columbia, SC 29203-1423
- Phone
- (803) 479-9267
- Fax
- (803) 479-9267
Authorised official
- Name
- Leona Love Jacobs
- Title
- Ceo
- Phone
- (803) 479-9267
Registered specialties
Prosthetist
Primary
Registry record
- NPI
- 1528985959
- Entity type
- Organization
- NPI issued
- 6 Jul 2026
- Record last updated
- 6 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.