IndividualActive
Adrienne Jackson
NPI 1629588520 · Prosthetist · Greenwood, SC
Provider details
- NPI number
- 1629588520
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4887 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2005 Old Laurens Rd
Greenwood, SC 29649
Phone: (864) 735-0768
Approximate (ZIP-level) locationGet directions
Mailing address
2005 Old Laurens Rd
Greenwood, SC 29649-9235
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2017-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.