NPI 1003417585
Alexis Jacobs
Practice location
- Address
- 100 Mondamin Rd, Columbia, SC 29210-8216
- Phone
- (803) 479-7696
Registered specialties (3)
Non-emergency Medical Transport (VAN)
Primary
Mental Illness Community Based Residential Treatment Facility
Health Service Clinic/Center
Registry record
- NPI
- 1003417585
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Nov 2020
- Record last updated
- 3 Nov 2020
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.