Individual
JAIMIE AMANDA SEAWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2728 SUNSET BLVD STE 104, WEST COLUMBIA, SC 29169-4838
(803) 256-0464
(803) 254-5121
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 256-0464
(803) 254-5121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250444
NC
207RP1001X
Pulmonary Disease Physician
Primary
87564
SC
Other
Enumeration date
05/23/2019
Last updated
03/18/2026
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