Individual
SHELBY EDWARD JARRELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD2014-0957
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD2014-0957
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74881736
—
NM
Enumeration date
05/17/2007
Last updated
07/16/2015
Update your record
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