Individual provider · NPI-1

Corina Lee Buzard, PA-C, RD, LDN

Physician Assistant · Wilson, NC

NPI number1982799136
StatusActive
Last updated in NPPESOct 26, 2023

Details

NPI
1982799136
Entity type
Individual (NPI-1)
Name
Mrs. Corina Lee Buzard
Credential
PA-C, RD, LDN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2006
Certification date
Oct 26, 2023
Last updated
Oct 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant102594NCYes
133V00000X Dietitian, RegisteredL001768NC

Practice location

303 Green St E
Wilson, NC 27893-4105

Phone 252-243-9800 · Fax 252-243-9888

Mailing address

303 Green St E
Wilson, NC 27893-4105

Phone 252-293-0013 · Fax 252-243-2576

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