Aundra Jackson
Aundra Jackson is a Prosthetic/Orthotic Supplier in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
494 Blue Garden WayColumbia, SC 29223-8052
Phone: (803) 271-1462
Fax: (267) 633-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1518733278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 3, 2023 |
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