John Daniel Generous, PA-C
Physician Assistant in Apo, AP. Individual provider (NPI-1).
NPI number1336747799
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1336747799
- Entity type
- Individual (NPI-1)
- Name
- John Daniel Generous
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2020
- Certification date
- Apr 5, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1160198 | – | Yes |
Practice location
Brian D. Allgood Army Community HospitalUnit #15245; Bldg 3030
Apo, AP 96271-5245
Phone 315-737-1219
Mailing address
104 Dysart Pl Apt HFayetteville, NC 28314-1399
Phone 703-638-4992
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