Provider First Line Business Practice Location Address:
JACKSON PREMIER HEALTH 146 PINNELL ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIPLEY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25271-9101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-373-1521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2025