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Contact Information

JACOB L SLANN
408 COLLEGE AVE
CLEMSON, SC29631-1441
 Phone: 864-650-0804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JACOB L SLANN · (Male)

NPI Number 1851900047
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2020
Last updated 07/24/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 303469
  • Other ZCX833239112903 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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