Individual provider · Type 1 NPI
Constance Elanie Jamison
Specialist · Scottdale, GA
NPI number
1982888335
Active
Practice location
3420 E Ponce De Leon Ave
Scottdale, GA 30079-1202
Mailing address
PO Box 1583
Pine Lake, GA 30072-1583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CO093077 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1982888335
Constance Elanie Jamison's National Provider Identifier is 1982888335, issued on Dec 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Scottdale, GA. The record was last updated on Dec 20, 2007.