Individual provider · Type 1 NPI
Dwayne Aubrey Jacobus, D.P.M.
Primary Podiatric Medicine Podiatrist · Columbia, SC
NPI number
1295726172
Active
Practice location
3800 N Main St Ste B
Columbia, SC 29203-6446
Fax (803) 705-3173
Mailing address
169 Laurelhurst Ave
Columbia, SC 29210-3825
Other practice locations
- 120 Walnut Commons Ln Ste A, Cookeville, TN 38501-6037 · (931) 528-1331
- 510 W Cheves St, Florence, SC 29501-4448 · (843) 679-9090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 565 (SC) |
| Podiatrist | 213E00000X | 847 (TN) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 847 (TN) |
| Foot Surgery Podiatrist | 213ES0131X | 847 (TN) |
| Foot Surgery Podiatrist | 213ES0131X | 565 (SC) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 565 (SC) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1295726172
Dwayne Aubrey Jacobus, D.P.M.'s National Provider Identifier is 1295726172, issued on Oct 31, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Columbia, SC. The record was last updated on Mar 7, 2023.