Jacob Keaton Goforth is a student in an organized health care education training program in West Columbia, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Keaton Goforth NPI is 1689360737. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
145 SUNSET CT STE 100
WEST COLUMBIA, SC
ZIP 29169-429
Phone: (803) 739-3550
Fax: (803) 739-3546
The NPI 1689360737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/12/2023 and was last updated on 1/18/2024.