| Jarrell Family Medicine | |
|
1288 B Street Ceredo WV 25507-0327 | |
| (304) 453-3334 | |
| (304) 453-2608 |
| Full Name | Jarrell Family Medicine |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20727 (West Virginia) | Primary |