Charles Emerson PA, ATC
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Charles Emerson PA, ATC
NPI Number
1053863746
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/27/2016
Specialties
(Taxonomies)Licenses
State
Florida
Montana
License Number
PA9109426
97201
Contact
Information
Purpose
Mailing
Location
Address
12553 BLUE LAGOON TRL
120 KING ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32225-5221
32204-2410
Country
US
US
Telephone Number
(352) 316-3224
(904) 253-2785
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/13/2022