Individual
TRACEY LEE SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 472-1208
Mailing address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 472-1208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1954
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1954
WV PA LICENSE
WV
01
—
770
WV PA LICENSE
WV
Enumeration date
10/28/2015
Last updated
09/07/2022
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