Individual
MS. CARSON MITCHELL CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4268 OLDFIELD CROSSING DR STE 303, JACKSONVILLE, FL 32223-7899
(904) 325-9386
(904) 650-2911
Mailing address
4268 OLDFIELD CROSSING DR STE 303, JACKSONVILLE, FL 32223-7899
(904) 325-9386
(904) 650-2911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11875
GA
363A00000X
Physician Assistant
Primary
9114474
FL
363A00000X
Physician Assistant
PA63282
CA
Other
Enumeration date
08/23/2021
Last updated
01/23/2024
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