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Individual

MR. PRESTON GENE GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1043 OAKLAWN DR STE A, CULPEPER, VA 22701-3339
(540) 613-1825
Mailing address
1043 OAKLAWN DR STE A, CULPEPER, VA 22701-3339
(540) 613-1825
(540) 870-6133

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08373
TX
363AM0700X
Medical Physician Assistant
Primary
0110008225
VA

Other

Enumeration date
04/29/2013
Last updated
04/28/2023
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