Individual
ERIC D JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
146 EAST HOSPITAL DR, SUITE 200, WEST COLUMBIA, SC 29169-4839
(803) 936-7530
(803) 936-7532
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22234
SC
363LF0000X
Family Nurse Practitioner
22234
SC
Other
Enumeration date
11/09/2018
Last updated
11/09/2020
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