Organization
JC NERVE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC FERRIN (AUTHORIZED OFFICIAL)
(573) 893-9500
Entity
Organization
Contact information
Practice address
2707 W EDGEWOOD DR STE 104, JEFFERSON CITY, MO 65109-5886
(573) 893-9800
Mailing address
2707 W EDGEWOOD DR STE 104, JEFFERSON CITY, MO 65109-5886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
12/07/2020
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