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Organization

1 FIT DOC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODNEY Z JARRELL DO (OWNER)
(304) 792-6275
Entity
Organization

Contact information

Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 792-6275
(304) 792-6295
Mailing address
PO BOX 239, LOGAN, WV 25601-0239
(304) 792-6275
(304) 792-6295

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002024474
MOUNTAIN STATE BCBS
WV
05
3810011557
WV
Enumeration date
04/16/2008
Last updated
05/21/2008
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