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Organization
PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC
Active
Organization
PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC
Active
Other names
Precious Jewels Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA SHANEKA PETE (MEDICAL OFFICER)
(803) 830-7075
Entity
Organization
Contact information
Practice address
401 WESTERN LN STE B, IRMO, SC 29063-7953
(803) 830-9095
Mailing address
401 WESTERN LN STE B, IRMO, SC 29063-7953
(803) 834-7075
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/17/2020
Last updated
02/08/2022
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