Individual
GARY CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CEAP
Contact information
Practice address
213 MCCLANAHAN ST SW, SUITE 201, ROANOKE, VA 24014-1721
(540) 853-0862
Mailing address
375 OLD MILL DR, HARDY, VA 24101-3147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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