Individual
DR. BRANDON HETH GILLENWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2110 EUCLID AVE, BRISTOL, VA 24201-3612
(276) 669-9158
(276) 669-6261
Mailing address
2110 EUCLID AVE, BRISTOL, VA 24201-3612
(276) 669-9158
(276) 669-6261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556807
VA
Other
Enumeration date
06/02/2010
Last updated
05/21/2021
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