Individual
EMILY KATHRYN ELIZABETH MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(800) 543-8814
(434) 924-5539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101271218
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
07/31/2021
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