IndividualActive
Dwayne Jacobus, D.P.M.
NPI 1295726172 · Primary Podiatric Medicine Podiatrist · Columbia, SC
Provider details
- NPI number
- 1295726172
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 565 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
3800 N Main St Ste B
Columbia, SC 29203-6446
Phone: (803) 705-3172
Fax: (803) 705-3173
Approximate (ZIP-level) locationGet directions
Mailing address
169 Laurelhurst Ave
Columbia, SC 29210-3825
Additional practice locations (2)
- 510 W Cheves StFlorence, SC 29501-4448Phone: (843) 679-9090Fax: (843) 679-9080
- 120 Walnut Commons Ln Ste aCookeville, TN 38501-6037Phone: (931) 528-1331Fax: (931) 528-6893
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2023-03-07
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.