Individual
JOSEPH MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 E NC HIGHWAY 54 STE 200, DURHAM, NC 27713-5271
(919) 405-2040
Mailing address
12 W BAYBERRY CT, DURHAM, NC 27713-9437
(573) 544-4087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001011279
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2020
Last updated
07/09/2021
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