DAVID ESCHOL GRAHAM


Address: 1205 Monument Rd Ste 203, Industrial Medicine, Jacksonville, FL 32225-6482
Phone: 9046657484

DAVID ESCHOL GRAHAM (NPI# 1255621249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255621249
Entity Type Individual
Full Name DAVID ESCHOL GRAHAM
Credential PA-C
Practice Address 1205 Monument Rd Ste 203
Industrial Medicine
Jacksonville
FL 32225-6482
Mailing Address 11684 Marsh Elder Dr
Jacksonville
FL 32226-2053
Practice Telephone 9046657484
Mailing Telephone 9047168617
Enumeration Date 2011-04-12
Last Update Date 2012-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9101460 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1205 MONUMENT RD STE 203
INDUSTRIAL MEDICINE
City JACKSONVILLE
State FL
Zip Code 32225-6482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144767971 Elizabeth Jahjah Nurse Practitioner 1205 Monument Rd Ste 203, Jacksonville, FL 32225-6482 2017-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
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1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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