Justin Hamway Rackley
Anesthesiologist
1001 Sam Perry Blvd
Fredericksburg
, Virginia 22401-4453
Justin Hamway Rackley
Anesthesiologist
1001 Sam Perry Blvd
Fredericksburg
, Virginia 22401-4453
(919) 873-9821
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Justin Hamway Rackley
- 3100 Spring Forest Rd Suite 130
- Raleigh, NC
- Zip : 27616-2880
- Fax : (919) 873-9821
- Phone : (919) 882-0705
Second Address
- Justin Hamway Rackley
- 1001 Sam Perry Blvd
- Fredericksburg, VA
- Zip : 22401-4453
- Phone : (540) 741-7614
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 0101239202 | VA |
National Provider Identifier
| NPI | 1003023359 |
|---|---|
| Provider Name | Justin Hamway Rackley |
| First Address | Raleigh, NC 27616-2880 |
| Second Address | Fredericksburg, VA 22401-4453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003023359 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.