Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DWAYNE AUBREY JACOBUS, D.P.M.
Active Sole ProprietorRadiology Podiatrist · COLUMBIA, SC
Registration Details
- NPI Number
- 1295726172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.472483826969 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
565 (SC)847 (TN)847 (TN)847 (TN)565 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 N MAIN ST STE BCOLUMBIA, SC, 292036446Browse SC providers · Browse ZIP 29203
- Phone
- 8037053172
- Fax
- 8037053173
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
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.