Individual
JAIME SUZANNE ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 STALLINGS RD, GREENVILLE, SC 29609-6946
(864) 322-2813
Mailing address
51 OTAGO PL, GREENVILLE, SC 29605-5985
(864) 205-6681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42568
SC
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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