Individual
DR. AMY ELLEN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
1690 SKYLYN DR STE 300A, SPARTANBURG, SC 29307-1022
(864) 342-4000
(864) 596-7409
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
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
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