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Organization

JAMII MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLES KNOX (DIRECTOR)
(803) 915-5400
Entity
Organization

Contact information

Practice address
300 LONG POINTE LN STE 200L, COLUMBIA, SC 29229-7544
(803) 915-5400
Mailing address
118 PINE LOOP DR, BLYTHEWOOD, SC 29016-8642
(803) 915-5400

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/13/2022
Last updated
01/13/2022
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