Individual provider · Type 1 NPI
Billy Merrill Elliott Iii
Medical Physician Assistant · Jacksonville, FL
NPI number
1790243293
Active
Practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
11692 Tanager Dr
Jacksonville, FL 32225-2570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic | 146L00000X | 525082 (FL) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1790243293
Billy Merrill Elliott Iii's National Provider Identifier is 1790243293, issued on Mar 4, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 29, 2021.