J2 Osteopathic Medicine

NPI #1093800856 in Sutton, West Virginia

Provider Information

NPI Number: 1093800856
Entity Type: Organization
Organization Name: J2 Osteopathic Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 485 OLD TURNPIKE RD
City: Sutton
State: West Virginia
ZIP Code: 26601-1637
Phone: (304) 765-9500

Authorized Official

Name: DR. JEANETTE H JACKSON, D.O.
Title: PHYSICIAN
Phone: (304) 765-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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