Individual
MR. BRIAN ANTHONY GAYLES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6224 OLD MILL RD APT B14, LYNCHBURG, VA 24502-4246
(434) 262-2304
Mailing address
6224 OLD MILL RD APT B14, LYNCHBURG, VA 24502-4246
(434) 262-2304
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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