Individual
JEREMY J. RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Mailing address
PO BOX 9149, SUITE 100, MORGANTOWN, WV 26506-9149
(304) 293-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01325
WV
Other
Enumeration date
12/27/2007
Last updated
12/18/2015
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