Individual
DR. BETHANY CARILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
800 BUFFALO ST, FARMVILLE, VA 23901-1112
(434) 315-5868
(434) 315-5989
Mailing address
PO BOX 371, FARMVILLE, VA 23901-0371
(434) 315-5868
(434) 315-5989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557411
VA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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