Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JOSEPH CLANCY, PA-C
ActiveCHARLES JOSEPH CLANCY, PA-C is a Physician Assistant healthcare provider located in FORT WALTON BEACH, Florida. NPI 1669410924 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1669410924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.17787368416 yrs)
- Last Updated
- Nov 15, 2010
- Licenses
-
PA9103700 (FL)PA9103700 (FL)
Practice Information
- Address
-
1005 MAR WALT DRIMMEDIATE CARE DEPARTMENTFORT WALTON BEACH, FL, 325476707Browse FL providers · Browse ZIP 32547
- Phone
- 8508638219
- Fax
- 8508638249
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Emergency Medicine
Other Physician Assistant Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. SCOT T WILLIAMS | PA | 1942205190 |
| MICHAEL ANDREW JOHNSON | PA-C | 1174517627 |
| HAROLD TIMOTHY JOHNSON | PA-C | 1336124098 |
| GERARDO CRUZ | PA-C | 1275518086 |
| MAX REID DAWKINS | PA-C | 1629053442 |
| ALICIA R. MORNEAULT | PA-C | 1962471987 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.