Individual
JAMEEL PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
(843) 394-7600
(843) 394-2603
Mailing address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
(843) 394-7600
(843) 394-2603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3337
—
SC
Enumeration date
07/05/2016
Last updated
07/05/2016
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