Male or Other

Nathan Thilges PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Nathan Thilges PA-C

NPI Number

1780996892

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/06/2010

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

9105506

Contact
Information

Purpose

Mailing
Location

Address

6555 CHESTER AVE STE 1
6555 CHESTER AVE STE 1

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32217-2279
32217-2279

Country

US
US

Telephone Number

(904) 309-6504
(904) 309-6504

Identifiers

Identifier

003667000

Identifier State

FL

Identifier Issuer

Unknown

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

Data last updated by provider on 08/01/2017

Provider Address

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