Individual
MS. JAMELAH PATRICE LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
211 E BUTLER RD STE A2, MAULDIN, SC 29662-2170
(864) 281-9171
Mailing address
PO BOX 1113, MAULDIN, SC 29662-1113
(864) 281-9171
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
612
SC
213EP1101X
Primary Podiatric Medicine Podiatrist
612
SC
213ES0131X
Foot Surgery Podiatrist
612
SC
Other
Enumeration date
09/11/2008
Last updated
09/02/2011
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