Individual
COLTON ALLEN JAMIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 VERDAE BLVD STE 101, GREENVILLE, SC 29607-4098
(864) 286-7550
(864) 286-7551
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 225-8603
(864) 455-5474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82758
SC
207P00000X
Emergency Medicine Physician
LL82758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827582
—
SC
Enumeration date
06/17/2019
Last updated
01/10/2022
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