MEDICARE: DR. JASON SCOTT SESSIONS D.C.

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	111NS0005X	Sports Physician Chiropractor	1834	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902854805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON SCOTT SESSIONS D.C.

Provider Business Mailing Address
First Line	:	1797 MAIN RD
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-3447
Country	:	US
Telephone Number	:	843-559-5455
Fax Number	:	843-559-3435

Provider Business Practice Location Address
First Line	:	1797 MAIN RD
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-3447
Country	:	US
Telephone Number	:	843-559-5455
Fax Number	:	843-559-3435

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/03/2011

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