Nineveh A Mcintosh, PA-C

NPI #1730430893 in St. Johns, Florida

Provider Information

NPI Number: 1730430893
Entity Type: Individual
Name: Nineveh A Mcintosh, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 28, 2012
Last Updated: Oct 20, 2022

Practice Location

Address: 30 ARDISIA LANE
City: St. Johns
State: Florida
ZIP Code: 32259
Phone: (904) 287-2794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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