Male or Other

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)

Code

363A00000X

Primary Taxonomy

Yes

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

Provider Address

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