Individual
MR. GARY A MCDANIEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3014 HEDRICK CT, DANVILLE, VA 24540-1458
(434) 429-6052
Mailing address
102 MILES PL, LYNCHBURG, VA 24502-4538
(434) 429-5169
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/31/2017
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