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Individual

JOHN ROLAND JEWELL

Active
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Individual

JOHN ROLAND JEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C0007456
MD
2086S0129X
Vascular Surgery Physician
C0007456
MD
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL

Other

Enumeration date
02/19/2020
Last updated
07/25/2023
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