Individual
MATTHEW PATRICK JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE MSC333, CHARLESTON, SC 29425
(330) 402-6481
Mailing address
169 ASHLEY AVENUE MSC333, CHARLESTON, SC 29425
(330) 402-6481
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL90294
SC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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