Individual
JUSTIN HAMWAY RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7614
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101239202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003023359
—
VA
Enumeration date
05/17/2007
Last updated
03/17/2018
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