Individual
JODIE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5861 MASON-DIXON HIGHWAY, BOX 72, BLACKSVILLE, WV 26521
(304) 432-8211
(304) 432-8213
Mailing address
5861 MASON-DIXON HIGHWAY, BOX 72, BLACKSVILLE, WV 26521
(304) 432-8211
(304) 432-8213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21811
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004757
—
WV
01
—
P00401095
RR MEDICARE
WV
Enumeration date
04/21/2006
Last updated
04/02/2008
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