Individual
BRIAN GRAVLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 HOSPITAL DR STE 7, GALAX, VA 24333-2453
(276) 236-5181
Mailing address
199 HOSPITAL DR STE 7, GALAX, VA 24333-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0017142923
VA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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