Individual
JERRY ROY BUZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
(866) 597-0959
Mailing address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
(866) 597-0959
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WV
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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