IndividualActive
William Jackson, MD
NPI 1205873395 · Vascular & Interventional Radiology Physician · Beaufort, SC
Provider details
- NPI number
- 1205873395
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 15477 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone: (843) 522-5130
Fax: (843) 522-5538
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 49009
Greenwood, SC 29649-0001
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.