Individual
WALTER TENNYSON JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 MILLS AVE STE C, GREENVILLE, SC 29605-4280
(864) 214-3794
(864) 233-8626
Mailing address
500 MILLS AVE STE C, GREENVILLE, SC 29605-4280
(864) 214-3794
(864) 233-8626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0858
SC
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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