Individual
BENJAMIN MCCRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9220 KING RUSSELL CT, MCGAHEYSVILLE, VA 22840-2694
(540) 383-3957
Mailing address
9220 KING RUSSELL CT, MCGAHEYSVILLE, VA 22840-2694
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
I080779002
VA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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