Individual
MR. JOHN GEARY WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
373 SE COUNTRY CLUB RD, LAKE CITY, FL 32025-4987
(386) 755-8909
Mailing address
373 SE COUNTRY CLUB RD., LAKE CITY, FL 32025-3327
(386) 755-8909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2310
FL
Other
Enumeration date
05/08/2007
Last updated
12/09/2008
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