Individual
DR. AMY ELLEN JAMISON
Active
Individual
DR. AMY ELLEN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
51557
SC
208100000X
Physical Medicine & Rehabilitation Physician
MD445794
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102715003
—
PA
05
—
515570
—
SC
01
—
SCC130
MEDICARE PIN
SC
01
—
SCC1305019
MEDICARE PIN
SC
Enumeration date
05/05/2009
Last updated
03/14/2019
Update your record
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