Provider Demographics
NPI:1497395412
Name:THROWER, CHARLES JOSHUA (CAA)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:JOSHUA
Last Name:THROWER
Suffix:
Gender:M
Credentials:CAA
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 MAGNOLIA ST APT 2409
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-2244
Mailing Address - Country:US
Mailing Address - Phone:912-223-1818
Mailing Address - Fax:
Practice Address - Street 1:1 SHIRCLIFF WAY # WAT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4748
Practice Address - Country:US
Practice Address - Phone:904-308-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant