Individual
CHANTINA DANYELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9550 BAYMEADOWS RD STE 9, JACKSONVILLE, FL 32256-0748
(904) 730-5115
(904) 828-5552
Mailing address
9838 OLD BAYMEADOWS RD # 276, JACKSONVILLE, FL 32256-8101
(904) 730-5115
(904) 828-5552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103211
FL
Other
Enumeration date
10/09/2007
Last updated
05/04/2021
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