Johnathan O'neil Davidson, PA-C

NPI #1295214047 in Hazard, Kentucky

Provider Information

NPI Number: 1295214047
Entity Type: Individual
Name: Johnathan O'neil Davidson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 13, 2018
Last Updated: May 16, 2025

Practice Location

Address: 200 MEDICAL CENTER DR
City: Hazard
State: Kentucky
ZIP Code: 41701
Phone: (606) 439-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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