IndividualActive
Avery Chisholm, MD
NPI 1558824912 · Gastroenterology Physician · Yulee, FL
Provider details
- NPI number
- 1558824912
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME175195 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
462626 State Road 200 Ste 300
Yulee, FL 32097-5516
Phone: (904) 398-7205
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.