Individual
MRS. CORINA LEE BUZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD, LDN
Contact information
Practice address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-9800
(252) 243-9888
Mailing address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 293-0013
(252) 243-2576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L001768
NC
363A00000X
Physician Assistant
Primary
102594
NC
Other
Enumeration date
10/04/2006
Last updated
10/26/2023
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