JERRY A. QUISENBERRY

MADISON, WV
NPI1639111768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  867)
Enumeration Date2006-06-12
Last Update Date2018-02-12
Business Address
Mr. JERRY A. QUISENBERRY PA-C
471 MAIN ST
MADISON, WV 25130-1223
Phone number: 304-369-5170
Mailing Address
Mr. JERRY A. QUISENBERRY PA-C
7400 LYNN AVE
HAMLIN, WV 25523-1138
Phone number: 304-824-5806