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Individual

JOHN N JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 277700, ATLANTA, GA 30384-7700
(440) 717-6600
(440) 546-8381

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006-01133
NC
207P00000X
Emergency Medicine Physician
31469
SC
207P00000X
Emergency Medicine Physician
Primary
35.082052
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000353335
ANTHEM
OH
01
143KC
BCBS OF NC PROVIDER NUMBE
NC
05
2378663
OH
05
314699
SC
05
4685180
MI
05
5905296
NC
05
64064165
KY
Enumeration date
08/02/2005
Last updated
04/25/2025
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