Byron Jackson
Foot Surgery Foot & Ankle Surgery
6941 N Trenholm Rd H1
Columbia
, South Carolina 29206-1715
Byron Jackson
Foot Surgery Foot & Ankle Surgery
6941 N Trenholm Rd H1
Columbia
, South Carolina 29206-1715
(803) 790-0520
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About
Features
Specialties
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Byron Jackson
- Po Box 25575
- Columbia, SC
- Zip : 29224-5575
- Fax : (803) 790-0520
- Phone : (803) 790-7200
Second Address
- Byron Jackson
- 6941 N Trenholm Rd H1
- Columbia, SC
- Zip : 29206-1715
- Phone : (803) 790-7200
Reviews
FAQs
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What type of doctor is Byron Jackson
In what state does Byron Jackson practice in?
Where is Byron Jackson ’s practice located?
What is Byron Jackson ’s gender?
Is Byron Jackson a sole practitioner?
Is Byron Jackson accepting new patients?
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Does Byron Jackson offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213ES0103X | Foot & Ankle Surgery | POD001104 | GA |
| Y | 213ES0131X | Foot Surgery | SC519 | SC |
National Provider Identifier
| NPI | 1265516447 |
|---|---|
| Provider Name | Byron Jackson |
| First Address | Columbia, SC 29224-5575 |
| Second Address | Columbia, SC 29206-1715 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 11/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 511I480 | MEDICARE PTAN (01) | GA |
| PD5195 | (05) | SC |
| T51154 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.