Individual
DR. GAIL JOHNSON GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
699 MCBROOM ST NW, SUITE A, ABINGDON, VA 24210-2511
(276) 628-1143
(276) 628-9522
Mailing address
699 MCBROOM ST NW, SUITE A, ABINGDON, VA 24210-2511
(276) 628-1143
(276) 628-9522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009205144
—
VA
01
—
CA3685
PALMETTO GBA RAILROAD MEDIARE
VA
Enumeration date
09/26/2006
Last updated
04/15/2011
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