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Individual

EMILY GATEWOOD BUCHANAN BRALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1616 N MAIN ST, SUITE C, MARION, VA 24354-4398
(276) 783-8123
(276) 783-1820
Mailing address
1616 N MAIN ST STE C, MARION, VA 24354-4474
(276) 783-1827
(276) 783-2879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203969
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30016024070001
VA
Enumeration date
05/08/2012
Last updated
01/31/2024
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