Individual
JAMES TERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60741890
WA
363A00000X
Physician Assistant
Primary
9110336
FL
Other
Enumeration date
02/24/2017
Last updated
10/13/2017
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