Organization
BRACO MEDICAL SERVICES LLC
Active
Other names
Vitality Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SMITH PA-C (PA-C, OWNER)
(912) 490-8546
Entity
Organization
Contact information
Practice address
700 RIVERSIDE AVE, WAYCROSS, GA 31501-5358
(912) 490-8546
(877) 221-0052
Mailing address
700 RIVERSIDE AVE, WAYCROSS, GA 31501-5358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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