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Individual

MIKELL JENKINS JARRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
934 COX RD, GASTONIA, NC 28054-3456
(980) 834-5864
(704) 864-0288
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9400850
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110125035
RAILROAD MEDICARE
NC
01
45833
BCBSNC PROVIDER #
NC
05
8945833
NC
05
N00850
SC
Enumeration date
07/04/2006
Last updated
03/31/2025
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