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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

NPI # 1215982533
LBN Legal business name JEWELL FAMILY AND ELDER MEDICINE PA
Authorized official JAMES JEWELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 11/12/2014 - About 12 years ago
Identifiers
SC Medicaid GP2323
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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