Jewell Family And Elder Medicine Pa

LBN: Jewell Family And Elder Medicine Pa
Jewell Family And Elder Medicine Pa is an health care organization with primary practice located at 1147 Ebenezer Rd , Rock Hill SC 29732-2355. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Jewell Family And Elder Medicine Pa can be contacted via phone (803) 329-6648, or through Jewell, James Lee via phone (803) 329-6648.

Contact Information

Primary practice address
1147 Ebenezer Rd Rock Hill SC 29732-2355
Fax: (803) 985-4134
Website:
Authorized official contact:
Name: Jewell, James Lee Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1215982533
LBN Legal business name Jewell Family And Elder Medicine Pa
DBA Doing business as
Authorized official Jewell, James Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Nov 12th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215982533 NPPES
South Carolina MEDICAID GP2323

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