Individual
MR. CONNOR JAMESON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3420, JACKSONVILLE, FL 32258-2645
(904) 493-8001
(904) 388-0852
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(047) 200-5999
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113850
FL
363A00000X
Physician Assistant
PAX000017679
FL
Other
Enumeration date
11/19/2020
Last updated
01/30/2023
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