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Individual

DR. DONALD THOMAS GANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 N WASHINGTON HWY, SUITE 306, ASHLAND, VA 23005-1642
(804) 798-1092
(804) 798-1475
Mailing address
201 N WASHINGTON HWY, SUITE 306, ASHLAND, VA 23005-1642
(804) 798-1092
(804) 798-1475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044754
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005862876
VA
Enumeration date
03/06/2006
Last updated
05/15/2024
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