Organization
JEWELL FAMILY AND ELDER MEDICINE PA
Active
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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