MEDICARE: PAMELA JEMISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	50132	AL

General Provider Information

NPI Number	:	1548197056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA JEMISON

Provider Business Mailing Address
First Line	:	171 STORY RAY DR
Second Line	:
City	:	NEW MARKET
State	:	AL
Zip	:	35761-6500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 STORY RAY DR
Second Line	:
City	:	NEW MARKET
State	:	AL
Zip	:	35761-6500
Country	:	US
Telephone Number	:	804-835-0717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ PAMELA JEMISON ” Practice Location

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