Individual
GEORGE BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 N MECKLENBURG AVE, SOUTH HILL, VA 23970-2045
(434) 584-9845
Mailing address
125 N MECKLENBURG AVE, SOUTH HILL, VA 23970-2045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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