Individual provider · Type 1 NPI

Jason P. Eastlack, MD

Diagnostic Radiology Physician · Columbia, SC

NPI number 1003137084 Active

Practice location

1519 Marion St
Columbia, SC 29201-2910

Fax (803) 296-3076

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X24394 (MS)
Diagnostic Radiology Physician 2085R0202XP2434 (TX)
Diagnostic Radiology Physician Primary 2085R0202X52431 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1003137084

Jason P. Eastlack, MD's National Provider Identifier is 1003137084, issued on Jun 14, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Columbia, SC. The record was last updated on Nov 11, 2020.