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Individual

DR. CLARENCE SCRANAGE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
713 N COURTHOUSE RD, SUITE 200, NORTH CHESTERFIELD, VA 23236-4074
(804) 858-3040
(888) 849-0589
Mailing address
PO BOX 38959, HENRICO, VA 23231-1311
(804) 840-6575
(866) 855-3111

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194829
ANTHEM BLUE CROSS
VA
05
6065554
VA
Enumeration date
05/28/2006
Last updated
01/18/2016
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