IndividualActive
Amy Jackson
NPI 1467019943 · Family Medicine Physician · Greenwood, SC
Provider details
- NPI number
- 1467019943
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 82152 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1132 Spring St
Greenwood, SC 29646-3859
Phone: (864) 725-1680
Fax: (864) 725-1683
Approximate (ZIP-level) locationGet directions
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.