| Diana Jamison Lcsw Pllc | |
|
25 Office Park Drive Kilmarnock VA 22482-0877 | |
| (804) 436-9218 | |
| (804) 435-6836 |
| Full Name | Diana Jamison Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Office Park Drive, Kilmarnock, Virginia |
| Authorized Official Name and Position | Diana Jamison (MEMBER MANAGER) |
| Authorized Official Contact | 8044369218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Jamison Lcsw Pllc Po Box 877 Kilmarnock VA 22482-0877 Ph: (804) 436-9218 | Diana Jamison Lcsw Pllc 25 Office Park Drive Kilmarnock VA 22482-0877 Ph: (804) 436-9218 |
| NPI Number | 1114184165 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Medicare PECOS PAC ID | 0749342863 |
|---|---|
| Medicare Enrollment ID | O20081229000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114184165 | NPI | - | NPPES |
| Provider Name | Diana L Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508800277 PECOS PAC ID: 6901840016 Enrollment ID: I20050618000132 |
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