Jarrell Family Medicine | |
1288 B Street Ceredo WV 25507-0327 | |
(304) 453-3334 | |
(304) 453-2608 |
Full Name | Jarrell Family Medicine |
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Speciality | Family Medicine |
Location | 1288 B Street, Ceredo, West Virginia |
Authorized Official Name and Position | Eugenia M Jarrell (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 3044533334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jarrell Family Medicine 1288 B. Street Po Box 327 Ceredo WV 25507-0327 Ph: (304) 453-3334 | Jarrell Family Medicine 1288 B Street Ceredo WV 25507-0327 Ph: (304) 453-3334 |
NPI Number | 1811074701 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811074701 | NPI | - | NPPES |
3810011443 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20727 (West Virginia) | Primary |