| 1 Fit Doc Pllc | |
|
306 Stanaford Rd Beckley WV 25801-3142 | |
| (304) 792-6275 | |
| (304) 792-6295 |
| Full Name | 1 Fit Doc Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 Stanaford Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Rodney Z Jarrell (OWNER) |
| Authorized Official Contact | 3047926275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Fit Doc Pllc Po Box 239 Logan WV 25601-0239 Ph: (304) 792-6275 | 1 Fit Doc Pllc 306 Stanaford Rd Beckley WV 25801-3142 Ph: (304) 792-6275 |
| NPI Number | 1598939944 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598939944 | NPI | - | NPPES |
| 002024474 | Other | WV | MOUNTAIN STATE BCBS |
| 3810011557 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2004 (West Virginia) | Primary |
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