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

CHARLES STEVEN JACKSON, PA-C

Active

CHARLES STEVEN JACKSON, PA-C is a Physician Assistant healthcare provider located in SENECA, South Carolina. NPI 1649230715 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SENECA, SC

Registration Details

NPI Number
1649230715
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2006 (20.355079326414 yrs)
Last Updated
May 11, 2021
Licenses
377 (SC)
377 (SC)

Practice Information

Address
10630 CLEMSON BLVD
STE 100
SENECA, SC, 296784546
Browse SC providers · Browse ZIP 29678
Phone
8644826000
Fax
8644827166
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SENECA, SC

Name Credential NPI
PAMELA S WILSON PA 1063491223
DOYCE J EMMERT PA 1689642068
MICHAEL T WECHTER PA 1922077080
MRS. KRISTIN LEE CANTRELL PA 1659332658
PAUL CHARLES HOPEY P.A. 1174532089
DIANE E LOWE PA 1194899195
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.