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Mr. Grady Gerald Carter, PA-C
Medical Physician Assistant in St Augustine, Florida
NPI 1902426851

Grady Gerald Carter is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Grady Gerald Carter practices in St Augustine, FL and has the professional credentials of PA-C. The NPI Number for Grady Gerald Carter is 1902426851 and holds a License No. PA9113401 (Florida).

The current practice location address for Grady Gerald Carter is 100 Whetstone Pl Ste 102, St Augustine, FL and can be reached out via phone at 904-342-8300.

Location: 100 Whetstone Pl Ste 102, St Augustine, FL, 32224-7637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902426851
Provider Name
Grady Gerald Carter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
100 Whetstone Pl Ste 102, St Augustine, FL, 32224-7637
Phone Number
904-342-8300
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Whetstone Pl Ste 102
City
St Augustine
State
Florida
Zip
32086-5775
Phone Number
904-342-8300
Fax Number
person
Provider Business Mailing Address Details
Address
100 Whetstone Pl Ste 102
City
St Augustine
State
Florida
Zip
32086-5775
Phone Number
904-342-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9113401 (Florida)
Definition
Definition to come...
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