Male or Other

David E. Graham PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

David Eschol Graham PA-C

NPI Number

1255621249

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/12/2011

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101460

Contact
Information

Purpose

Mailing
Location

Address

11684 MARSH ELDER DR
1205 MONUMENT RD STE 203

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32226-2053
32225-6482

Country

US
US

Telephone Number

(904) 716-8617
(904) 665-7484

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

Data last updated by provider on 09/20/2012

Provider Address

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