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Individual

MRS. JERI GAYNELL PARKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 MEDICAL CT, MARTINSBURG, WV 25401-2843
(717) 830-3222
Mailing address
507 S ALABAMA AVE, MARTINSBURG, WV 25401-1913
(717) 830-3222

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9999999999
BLUECROSS/BLUESHIELD
Enumeration date
07/09/2009
Last updated
07/09/2009
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