Individual
LAKE H JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 MCMILLAN RD, CLEMSON, SC 29634-4054
(864) 656-2233
(864) 656-0760
Mailing address
735 MCMILLAN RD, CLEMSON, SC 29634-4054
(864) 656-2233
(864) 656-0760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119945
—
SC
Enumeration date
07/23/2006
Last updated
02/14/2017
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