Individual provider · Type 1 NPI

Jack Neely Halton Iii, PA-C

Physician Assistant · Memphis, TN

NPI number 1720859119 Active

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Call (901) 523-8990 Map

Mailing address

4207 S Dale Mabry Hwy Unit 2302
Tampa, FL 33611-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

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About NPI 1720859119

Jack Neely Halton Iii, PA-C's National Provider Identifier is 1720859119, issued on Jan 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Memphis, TN. The record was last updated on Jan 15, 2024.