Individual provider · Type 1 NPI

Mitchell Wells Jacocks, MD

Cardiovascular Disease Physician · West Columbia, SC

NPI number 1881667897 Active

Practice location

2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815

Fax (803) 744-4938

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X20836 (SC)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1881667897

Mitchell Wells Jacocks, MD's National Provider Identifier is 1881667897, issued on Feb 9, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in West Columbia, SC. The record was last updated on Nov 6, 2020.