Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Myia McKenzie Jackson

Individual provider Prosthetics Case Management · NPI 1760351050

Myia McKenzie Jackson is a Prosthetics Case Management in West Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025
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Practice location Address checks out

134 Adams Terrace Ct
West Columbia, SC 29172-2600
Phone: (803) 397-1231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X (SC)

Record details

NPI number1760351050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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