| Dr Clinton Drake Jacobs, DC | |
|
2427 Fish Hatchery Rd, West Columbia, SC 29172-2093 | |
| (803) 939-0785 | |
| (803) 939-0787 |
| Full Name | Dr Clinton Drake Jacobs |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2427 Fish Hatchery Rd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871747493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3393 (South Carolina) | Primary |
| Provider Name | Carew, L.l.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952495749 PECOS PAC ID: 6901867100 Enrollment ID: O20041021000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Drake Jacobs, DC Po Box 3709, Irmo, SC 29063-4019 Ph: (803) 939-0785 | Dr Clinton Drake Jacobs, DC 2427 Fish Hatchery Rd, West Columbia, SC 29172-2093 Ph: (803) 939-0785 |
West Columbia Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 101 Pinecrest Ave, West Columbia, SC 29170 Phone: 803-791-0100 Fax: 803-791-0101 | |
Dr. Ronald J Shows, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2243 C Leaphart Rd, Leaphart Chiropractic Llc, West Columbia, SC 29169 Phone: 803-796-9562 Fax: 803-796-9587 | |
Dr. Jennifer Lee, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2427 Fish Hatchery Rd, West Columbia, SC 29172 Phone: 803-939-0785 Fax: 803-939-0787 | |
Healthsource Of West Columbia Chiropractor Medicare: Medicare Enrolled Practice Location: 2427 Fish Hatchery Rd, West Columbia, SC 29172 Phone: 803-939-0785 | |
Andrea Wilderom, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 604 12th St, West Columbia, SC 29169 Phone: 803-888-6385 | |
Dr. Marah W Rutland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1519 Augusta Rd Ste A, West Columbia, SC 29169 Phone: 803-939-1589 Fax: 803-939-1589 | |
Dr. Ariel Smith, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 604 12th St, West Columbia, SC 29169 Phone: 803-888-6385 |