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Individual

DR. BARRY KEITH GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1114 E. MAIN STREET, SUITE 7, LEBANON, VA 24266
(276) 889-4701
(276) 889-4701
Mailing address
PO BOX 2425, LEBANON, VA 24266-2425
(276) 889-4701
(276) 889-4701

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000589
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
332447
ANTHEM
VA
Enumeration date
08/10/2006
Last updated
11/29/2011
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