# JARRELL FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811074701
- **Authorized official:** EUGENIA M JARRELL MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (304) 453-3334

## Contact information

- **Practice address:** 1288 B STREET, CEREDO, WV 25507-0327
- **Practice address phone:** (304) 453-3334
- **Practice address fax:** (304) 453-2608
- **Mailing address:** 1288 B. STREET PO BOX 327, CEREDO, WV 25507-0327
- **Mailing address phone:** (304) 453-3334
- **Mailing address fax:** (304) 453-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20727 | WV | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810011443 | — | WV |