Individual
JEREMY SETH MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 S COLLEGE AVE, BLUEFIELD, VA 24605-1640
(276) 326-3376
Mailing address
725 S COLLEGE AVE, BLUEFIELD, VA 24605-1640
(276) 326-3376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001928
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001928
STATE LICENSE
VA
Enumeration date
11/01/2006
Last updated
07/26/2023
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