Individual
JAMIN ALLEN PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
(864) 242-2250
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007063
GA
363A00000X
Physician Assistant
Primary
2287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207PA
—
SC
01
—
SC5988
MEDICARE
SC
Enumeration date
12/11/2013
Last updated
06/08/2021
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