Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
Allen, Dr. Vincent Casey Jr. LP | 3278 Mitchell Blvd Moody Afb GA 31699 | 229-257-3898 | 103TC0700X | 1174899371 |
Allkanjari, Armand MD | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-1459 | 286500000X | 1427439165 |
Anderson, Jennifer | 7196 B Savannah St Moody Afb GA 31699 | 229-257-5447 | 1710I1003X | 1912392333 |
Barron, Lawanna Renee | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-4805 | 1041C0700X | 1578179958 |
Boyd, Christopher S PA | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-1459 | 174400000X | 1831384866 |
MEDICAID WY : 106425800 |
Bozung, Dr. Tracy M.D. | 3278 Mitchell Blvd Moody Afb GA 31699-5529 | 229-257-4751 | 207Q00000X | 1902995889 |
Brewton, Daphne E. LCSW | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-3898 | 104100000X | 1699958256 |
Campbell, Mr. Gordon H PA | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 850-499-0257 | 363A00000X | 1710947767 |
Cartwright, Mr. Michael Thomas Sr. RPH | 3278 Mitchell Blvd Moody Afb GA 31699-2227 | 229-257-3221 | 183500000X | 1457428575 |
Carver, Dr. Courtney Leigh PHARMD | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-357-3221 | 183500000X | 1225628308 |
Collins, Rachel MS, ATC, LAT | 23 Mdos Sgoy 3278 Mitchell Blvd Moody Afb GA 31699-0001 | 229-257-7393 | 2255A2300X | 1518364678 |
Connahey, Bradley James | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 904-477-7683 | 1710I1003X | 1831725381 |
Devita, George A | 23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1793 | 315-783-5876 | 363AM0700X | 1437526340 |
Doan, Dr. John D.O. | 23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-5523 | 207Q00000X | 1518347939 |
Dyer, Mr. Kendrick G LCSW | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-4805 | 1041C0700X | 1467750547 |
OTHER GA LICENSE : 004323 |
Eaton, David Eric PA-C | 23rd Medical Group (acc) Moody Afb GA 31605-4406 | 520-228-2511 | 363A00000X | 1588631089 |
Etienne, Steven IDMT | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-4466 | 146M00000X | 1932543659 |
Flumerfelt, Mrs. Laura Cosima LCSW | 23rd Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-7707 | 229-257-1459 | 1041C0700X | 1780011700 |
Fong, Chun Chung IDMT | 3278 Mitchell Blvd Bldg 900 Moody Afb GA 31699-1500 | 813-503-0354 | 1710I1003X | 1881905073 |
Glidewell, Andrew PA-C | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-2778 | 363AM0700X | 1477049781 |
Grussendorf, Dr. Christopher Mark MD, MPH | 23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-3166 | 2083X0100X | 1437145570 |
Guzman, Dr. Yvette M.D. | 3278 Mitchell Blvd Moody Afb Moody Afb GA 31699-1500 | 229-257-4751 | 208000000X | 1811982903 |
Henderson, Dr. Mark William DMD | 23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-1459 | 1223G0001X | 1992792840 |
Holt, Bailey IDMT | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 609-832-9740 | 1710I1003X | 1568909091 |
Hughes, Alex Ii PA | 3278 Mitchell Blvd Moody Afb GA 31699-4800 | 229-257-2778 | 363A00000X | 1891070991 |
Johnson, Jason Douglas | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-2778 | 207Q00000X | 1073044343 |
Johnston, Kristopher Mark Hotai MS, ATC | Bemiss Rd Moody Afb GA 31699-0001 | 276-608-6497 | 2255A2300X | 1831631670 |
Lively, Dr. Clayton M.D. | 3278 Mitchell Blvd Moody Afb GA 31699 | 229-257-1459 | 2084P0800X | 1407293418 |
Lucido, Dr. Salvatore Joseph MD | 3280 Mitchell Blvd 23 Amds/flight Medicine Clinic Moody Afb GA 31699-1500 | 229-257-2103 | 207R00000X | 1811980451 |
Martin, Dr. Taylor Montana DO | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-2778 | 171000000X | 1215431309 |
Matthes Berg, Dr. Andrea Linn DHSC, LAT, ATC | 7196 Savannah St # B Moody Afb GA 31699-5013 | 229-257-3826 | 2255A2300X | 1205237393 |
Mcnabb, Mr. Brock Allen LCSW | 23rd Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-0001 | 229-257-1459 | 1041C0700X | 1083988356 |
Monte, Dr. Matthew Raymond MD | 3278 Mitchell Blvd Moody Afb GA 31699-7103 | 229-257-2778 | 390200000X | 1396373445 |
Niewoonder, Robert PA-C | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-292-3719 | 363A00000X | 1346207610 |
O'kane, Jacqueline Michele D.O. | 23d Medical Group 3278 Mitchell Boulevard Moody Afb GA 31699-1500 | 229-257-1459 | 207Q00000X | 1396085981 |
MEDICAID SC : 357027 |
Pierce, Dr. James PHARMD | 3278 Mitchell Blvd Pharmacy Moody Afb GA 31699-1500 | 229-257-2341 | 183500000X | 1013255033 |
Reed, Byron IDMT | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | (22-9) -257-3165 | 1710I1003X | 1982120796 |
Richardson, Jordan Blount DPT | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-1459 | 2251X0800X | 1205080223 |
Robbins, Dr. Jordan DMD | 23rd Medical Group 3278 Mitchell Blvd Moody Afb GA 31699 | 229-257-1459 | 122300000X | 1083147367 |
Rorer, Katherine | 23rd Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-1459 | 208000000X | 1083028120 |
Sandmann, Mr. Nathan C PA | 8409 Werewolf Run Bldg 708 Moody Afb GA 31699-1500 | 719-465-2890 | 363A00000X | 1215171350 |
Schrimsher, Dr. Genifer L. | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-2104 | 390200000X | 1265857437 |
Seyfried, Lavenia J ANP | 23 Rd Medical Group Sghc 3278 Mitchell Blvd. Moody Afb, Ga. 31699-1500 Moody Afb GA 31699-1500 | 229-257-3681 | 363LA2200X | 1952695553 |
Smith, Allison PHARMD | 3728 Mitchell Blvd Moody Afb GA 31699-0001 | 229-257-3221 | 183500000X | 1992394365 |
Smith-akpassa, Charnell E | 3278 Mitchell Blvd Moody Afb GA 31699-5613 | 229-257-3898 | 1041C0700X | 1225136500 |
Stone, Ms. Sarah E APRN-CNP | 3278 Mitchell Blvd Moody Afb GA 31699-5529 | 229-257-2373 | 363LW0102X | 1982088340 |
Sutton, Mr. Stephen Michael P.T. | 3278 Mitchell Blvd 23d Medical Group Moody Afb GA 31699-1500 | 229-257-7393 | 225100000X | 1528394012 |
Tolbert, Claude Jr. | 3278 Mitchell Blvd Moody Afb GA 31699-1500 | 229-257-3321 | 183500000X | 1205258514 |
Traeye, Alesia R ARNP, FNP-C | 3278 Mitchell Blvd Moody Afb GA 31699-8618 | 229-257-1920 | 171M00000X | 1891095451 |
Uretsky, Lori Beth ATC,LMT | 7196a Savannah St Bldg 663 Moody Afb GA 31699-0001 | 609-610-7744 | 225700000X | 1770762338 |
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