Provider Demographics
NPI:1871567818
Name:DAYS, JACQUES RODNEY (MD)
Entity type:Individual
Prefix:DR
First Name:JACQUES
Middle Name:RODNEY
Last Name:DAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 SALUDA ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-1576
Mailing Address - Country:US
Mailing Address - Phone:803-385-2655
Mailing Address - Fax:209-828-3133
Practice Address - Street 1:1131 SALUDA ST
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5776
Practice Address - Country:US
Practice Address - Phone:803-325-7744
Practice Address - Fax:803-325-1789
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22319208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC22319OtherSTATE LICENSE NUMBER
SCG61824Medicare UPIN