Individual
JUSTIN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
201 HIGH ST, FARMVILLE, VA 23909-1800
(434) 395-2000
Mailing address
1212 BARKSDALE DR NE, LEESBURG, VA 20176-4960
(703) 728-1777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/13/2021
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