SearchVirginia133V00000X

Judy Gourley

NPI 1740686047 · on the registry since 2014 · sole proprietor

Practice

Address
2204 Wilborn Ave
South Boston, VA 24592
Phone
(434) 517-3579
Organisation at this address
Halifax Regional Hospital
Halifax Regional Hospital
Dominion Health Medical Assoc
Dominion Health Medical Assoc
Dominion Health Medical Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
VA, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia