Provider Information for 1760967699
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JASMINE DOXIE Ed.S, NCC
Sex: Female
NPI: 1760967699
Last Updated: 2024-03-06
Certification Date: 2024-03-06
Certification Date: 2024-03-06
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760967699 | ||||||||||||||||
| Enumeration Date | 2018-09-26 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 304 BRIERCLIFF DR COLUMBIA, SC 29203-9532 United States Phone: 803-420-3743 | Fax: | ||||||||||||||||
| Primary Practice Address | 304 BRIERCLIFF DR COLUMBIA, SC 29203-9532 United States Phone: 803-420-3743 | Fax: | ||||||||||||||||
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