Individual
DR. JEFFREY HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12731 STONE VILLAGE WAY, MIDLOTHIAN, VA 23113-2722
(804) 579-1500
Mailing address
257 E BANK ST APT 5, PETERSBURG, VA 23803-3431
(804) 445-6757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
04/12/2020
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