Individual
RENALDO ANDREW JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(828) 456-7311
(252) 962-3320
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200500953
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
200500953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901237
—
NC
Enumeration date
11/15/2006
Last updated
03/10/2025
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