Janice Mccracken

NPI #1265142160 in Bristol, Tennessee

Provider Information

NPI Number: 1265142160
Entity Type: Individual
Name: Janice Mccracken
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 1, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 1850 EDGEMONT AVE
City: Bristol
State: Tennessee
ZIP Code: 37620-4309
Phone: (423) 573-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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