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JEWELL FAMILY AND ELDER MEDICINE PA NPI 1215982533


NPI Information

NPI: 1215982533
Provider Name: JEWELL FAMILY AND ELDER MEDICINE PA
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1147 EBENEZER RD
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-6648
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JEWELL FAMILY AND ELDER MEDICINE PA is a geriatric medicine family medicine in Rock Hill, SC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. JEWELL FAMILY AND ELDER MEDICINE PA NPI is 1215982533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1147 EBENEZER RD
ROCK HILL, SC
ZIP 29732-355
Phone: (803) 329-6648
Fax: (803) 985-4134

The provider's authorized official is James Lee Jewell .
The authorized official title is President and has the following contact phone number (803) 329-6648.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 11/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17225MEDICARE UPINSOUTH CAROLINA
2GP2323MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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