Meredith Gentry PA
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Meredith Gentry PA
NPI Number
1295315273
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/13/2021
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
PA9117784
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746649
14540 OLD SAINT AUGUSTINE RD STE 2599
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6649
32258-7420
Country
US
US
Telephone Number
(904) 376-4400
(904) 224-8090
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/25/2024