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Individual

DR. KERRY WIX GATELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 947-6777
(434) 947-2338
Mailing address
1900 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 947-6777
(434) 947-2338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21226
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004975111
VA
Enumeration date
06/13/2007
Last updated
07/29/2008
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