# BRACO MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124823570
- **Authorized official:** AMANDA SMITH PA-C (PA-C, OWNER)
- **Authorized official phone:** (912) 490-8546

## Contact information

- **Practice address:** 700 RIVERSIDE AVE, WAYCROSS, GA 31501-5358
- **Practice address phone:** (912) 490-8546
- **Practice address fax:** (877) 221-0052
- **Mailing address:** 700 RIVERSIDE AVE, WAYCROSS, GA 31501-5358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 02/18/2025