NPI 1265113054

Portia Goode Jackson

Practitioner Transportation Network Company Travelers Rest, SC

Practice location

Address: 887 Pine Log Ford Rd, Travelers Rest, SC 29690-8418
Phone: (803) 467-8687

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X Licence 01328980 (SC)

Other Transportation Network Company providers in South Carolina →

Registry record

NPI: 1265113054
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2023
Record last updated: 26 Jul 2023

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.