Jason Chauncey Spencer in Woodbine - Physician Assistant
Jason Chauncey Spencer - NPI 1700995354
Jason Chauncey Spencer is a Physician Assistant in Woodbine, Georgia. Jason Chauncey Spencer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Chauncey Spencer is 1700995354. The last update date is 2008-06-11.
Jason Chauncey Spencer's current location address is 28 Yachtsmen Court, Woodbine, Georgia. You can contact this provider via phone number 9125410243. The mailing address for Jason Chauncey Spencer is 28 Yachtsmen Court, Woodbine, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Chauncey Spencer |
|---|---|
| Address | 28 Yachtsmen Court, Woodbine, Georgia |
| Phone Number | 9125410243 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700995354 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 28 Yachtsmen Court |
|---|---|
| City | Woodbine |
| State | Georgia (GA) |
| Post Code | 31569 |
| Phone Number | 9125410243 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3768 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002298F | GA | -- | |
| 100002298D | GA | -- | |
| 10059208 | GA | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jason Chauncey Spencer by the Centers for Medicare & Medicaid Services?
The Jason Chauncey Spencer has been issued the NPI (National Provider Identifier) 1700995354, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jason Chauncey Spencer is located?
The Jason Chauncey Spencer is situated at the following address: 28 Yachtsmen Court, Woodbine, GA, 31569.
What is the area of specialization for Jason Chauncey Spencer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason Chauncey Spencer is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700995354 to Jason Chauncey Spencer?
The Centers for Medicare & Medicaid Services originally issued the 1700995354 to Jason Chauncey Spencer on 2006-08-29.
As of what date were the details pertaining to Jason Chauncey Spencer last refreshed?
The information related to the Jason Chauncey Spencer, including its address, specialty, and other relevant details, was last updated on 2008-06-11.