Individual
ROY ELMO SHREWSBURY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1213 LAKE DR, DANIELS, WV 25832-9235
(304) 894-4409
Mailing address
1213 LAKE DR, DANIELS, WV 25832-9235
(304) 894-4409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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