NPI 1265516447

Byron Jackson, DPM

Practitioner Podiatrist Orangeburg, SC

Practice location

Address: 3310 Magnolia St, Orangeburg, SC 29115-1466
Phone: (803) 531-6900
Fax: (803) 531-6907

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 519 (SC)

Other Podiatrist providers in South Carolina →

Registry record

NPI: 1265516447
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 26 Jul 2022

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.