Jameson, Theresa

Jameson, Theresa is an individual health care provider with primary practice located at 3000 St. Matthews Road , Orangeburg SC 29118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jameson, Theresa can be contacted via phone (803) 454-2613.

Contact Information

Primary practice address
3000 St. Matthews Road Orangeburg SC 29118
Phone: (803) 454-2613
Fax: (803) 765-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 403 South Carolina

Profile Details

NPI number 1366407249
LBN Legal business name Jameson, Theresa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366407249 NPPES
South Carolina Other 576008010006 BLUE CHOICE
South Carolina Other 000000163661 BLUE CHOICE
South Carolina Other 20010745 BLUE CHOICE
South Carolina Other 576008010015 BLUE CHOICE
South Carolina MEDICAID AN0273 BLUE CHOICE
South Carolina Other 576008010009 BLUE CHOICE

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