Organization
JARRELL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIA M JARRELL MD (PRESIDENT/PHYSICIAN)
(304) 453-3334
Entity
Organization
Contact information
Practice address
1288 B STREET, CEREDO, WV 25507-0327
(304) 453-3334
(304) 453-2608
Mailing address
1288 B. STREET PO BOX 327, CEREDO, WV 25507-0327
(304) 453-3334
(304) 453-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20727
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011443
—
WV
Enumeration date
11/01/2006
Last updated
02/25/2010
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