Individual
JASON CHAUNCEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8761 PERIMETER PARK BLVD STE 106, JACKSONVILLE, FL 32216-6397
(904) 621-6628
(904) 346-0113
Mailing address
28 YACHTSMEN COURT, WOODBINE, GA 31569
(912) 541-0243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003768
GA
363A00000X
Physician Assistant
Primary
PA9103004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002298D
—
GA
05
—
100002298F
—
GA
01
—
10059208
AMERIGROUP
GA
Enumeration date
08/29/2006
Last updated
06/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us