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Contact Information

JEWELL FAMILY AND ELDER MEDICINE PA
1147 EBENEZER RD
ROCK HILL, SC29732-2355
 Phone: 803-329-6648
 Fax: 803-985-4134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEWELL FAMILY AND ELDER MEDICINE PA · (Female)

NPI # 1215982533
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2006
Last updated 11/12/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP2323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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