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Contact Information

LAUREN V JACKSON
4070 HIGHWAY 17
MURRELLS INLET, SC29576
 Phone: 843-652-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LAUREN V JACKSON · (Female)

NPI Number 1639524945
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2016
Last updated 12/03/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 82328
Hospital affiliation(s)
  • GEORGETOWN MEMORIAL HOSPITAL - (Acute Care)
    606 BLACK RIVER RD DRAWER 1718
    GEORGETOWN, SC 29440
  • WACCAMAW COMMUNITY HOSPITAL - (Acute Care)
    4070 HIGHWAY 17 BYPASS
    MURRELLS INLET, SC 29576
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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