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Specialty details in registry · Danville, VA

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At a glance

145 Holt Garrison Pkwy, Danville, VA 24540-5948

NPPES record updated Jun 21, 2012. Public records can lag behind changes at a practice.

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Practice location

145 Holt Garrison Pkwy
Danville, VA 24540-5948

Professional details: NPI, taxonomy & registry record

NPI1154684496

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 156FX1800X
Enumeration date: Jun 21, 2012
Record updated: Jun 21, 2012

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

156FX1800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

145 Holt Garrison Pkwy
Danville, VA 24540-5948

Phone: (434) 483-2199
Fax: (434) 710-4910

Mailing address

296 GRAYSON HWY

LAWRENCEVILLE, GA 300465737

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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