| Dr Charles W Jackson, PHD | |
|
210 University Plaza Dr, Conway, SC 29526-8978 | |
| (843) 347-2550 | |
| Not Available |
| Full Name | Dr Charles W Jackson |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 210 University Plaza Dr, Conway, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851315766 | NPI | - | NPPES |
| 182 | Other | SC | COUNSELING PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 182 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles W Jackson, PHD 5315 N Kings Hwy, Pmb 120, Myrtle Beach, SC 29577-2534 Ph: (843) 503-2000 | Dr Charles W Jackson, PHD 210 University Plaza Dr, Conway, SC 29526-8978 Ph: (843) 347-2550 |
Dr. Jennie May Cassidy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 204 University Blvd., Coastal Carolina University, Conway, SC 29528 Phone: 843-349-2305 Fax: 843-349-2898 | |
Mrs. Adriana Wingard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Randi Moss, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Legion St, Suite 220c, Conway, SC 29526 Phone: 843-468-1850 |