Individual
JESSICA KAISER MENDELSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1656 RIVERCHASE BLVD, SUITE 2400, ROCK HILL, SC 29732-2084
(803) 329-5131
(803) 366-3300
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(803) 329-5131
(803) 366-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841309903
—
NC
05
—
375374
—
SC
05
—
5905738
—
NC
Enumeration date
08/30/2006
Last updated
11/17/2016
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