Individual
MR. JAMES MCLEOD BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4606 BROMLEY LN, RICHMOND, VA 23226-1202
(817) 300-6744
Mailing address
5855 BREMO RD STE 310, RICHMOND, VA 23226-1923
(817) 300-6744
(804) 281-8019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003776
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275804015
—
VA
Enumeration date
01/25/2012
Last updated
12/05/2022
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