Individual
BRIA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 PARK AVE NW, NORTON, VA 24273-1922
(866) 412-2897
Mailing address
620 PARK AVE NW, NORTON, VA 24273-1922
(276) 644-7690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12767
NC
363AM0700X
Medical Physician Assistant
0110009970
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
04/30/2025
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