GRADY GERALD CARTER

ST AUGUSTINE, FL
NPI1902426851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9113401)
Enumeration Date2020-04-21
Last Update Date2022-08-22
Business Address
Mr. GRADY GERALD CARTER PA-C
100 WHETSTONE PL STE 102
ST AUGUSTINE, FL 32086-5775
Phone number: 904-342-8300
Mailing Address
Mr. GRADY GERALD CARTER PA-C
3853 ASHGLEN DR E
JACKSONVILLE, FL 32224-7637
Phone number: 904-930-5056
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