Organization
JEWELL FAMILY AND ELDER MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEE JEWELL MD (PRESIDENT)
(803) 329-6648
Entity
Organization
Contact information
Practice address
1147 EBENEZER RD, ROCK HILL, SC 29732-2355
(803) 329-6648
(803) 985-4134
Mailing address
1218 AUBURNDALE LANE, ROCK HILL, SC 29732
(803) 366-4818
(803) 366-4818
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2323
—
SC
Enumeration date
05/24/2006
Last updated
11/12/2014
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