Individual
DR. KARA BETH WANCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7600
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101242117
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2006
Last updated
02/11/2022
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