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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHRISTINE STEVENS JACKSON

Active Sole Proprietor

MRS. CHRISTINE STEVENS JACKSON is a Medical Laboratory Technician healthcare provider located in MC CLELLANVILLE, South Carolina. NPI 1114286150 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · MC CLELLANVILLE, SC

Registration Details

NPI Number
1114286150
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2012 (14.233907510677 yrs)
Last Updated
May 11, 2012
License
1600 (MT)
Sole Proprietor
Yes

Practice Information

Address
161 LIBERTY ST
MC CLELLANVILLE, SC, 294589721
Browse SC providers · Browse ZIP 29458
Phone
8432309297
Primary Specialty
Medical Laboratory Technician
246RM2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.