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Individual

HALLIE DOVE GUNNOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2146
(434) 243-3090
(434) 244-9445
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0110008819
VA
363AM0700X
Medical Physician Assistant
Primary
0110008819
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/09/2019
Last updated
12/27/2022
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