Organization
1 FIT DOC PLLC
Active
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
Update your record
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