Individual
CHRISTINA RENEE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
156 MISTY LN, SHADY SPRING, WV 25918-8467
(304) 763-4129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01110
WV
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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