Female

Chantina D. Davis PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Chantina Danyell Davis PA-C

NPI Number

1730377300

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/09/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9103211

Contact
Information

Purpose

Mailing
Location

Address

9838 OLD BAYMEADOWS RD # 276
9550 BAYMEADOWS RD STE 9

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-8101
32256-0748

Country

US
US

Telephone Number

(904) 730-5115
(904) 730-5115

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/04/2021

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