IndividualActive
Jacquelynn Amick
NPI 1407197312 · Early Intervention Provider Agency · Columbia, SC
Provider details
- NPI number
- 1407197312
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
101 Executive Center Dr
Ste. 120
Columbia, SC 29210-8411
Phone: (843) 855-0597
Fax: (803) 896-8279
Approximate (ZIP-level) locationGet directions
Mailing address
101 Executive Center Dr
Columbia, SC 29210-8411
Registry dates
- Enumerated
- 2013-03-04
- Last updated
- 2013-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.