Individual
GREGORY TYRONE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 BUFFLEHEAD CT, HENRICO, VA 23231-7595
(804) 912-9117
(804) 507-0436
Mailing address
2900 BUFFLEHEAD CT, HENRICO, VA 23231-7595
(804) 912-9117
(804) 507-0436
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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