Individual
MR. JEREMY LEE SEACRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 21ST ST, DUNBAR, WV 25064-1707
(304) 741-9623
Mailing address
535 21ST ST, DUNBAR, WV 25064-1707
(304) 741-9623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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