Individual provider · Type 1 NPI

Harmony Dawn Church, PA-C

Surgical Physician Assistant · Tallahassee, FL

NPI number 1629293790 Active

Practice location

2056 Centre Pointe Ln
Tallahassee, FL 32308-4300

Fax (850) 656-2822

Mailing address

2505 Harrison Ave
Panama City, FL 32405-4423

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9103042 (FL)
Medical Physician Assistant 363AM0700XPA 9103042 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1629293790

Harmony Dawn Church, PA-C's National Provider Identifier is 1629293790, issued on Apr 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tallahassee, FL. The record was last updated on Oct 21, 2011.