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Health Care Providers in Moody Afb, Georgia

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Alfaro, Michael Jon DMD23 Mdg  3278 Mitchell Blvd    Moody Afb  GA 31699-1500210-842-0036122300000X1699845222
Allkanjari, Armand MD3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-1459208D00000X1427439165
Arnold, Wesley Preston PA-C23d Medical Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-6126363A00000X1528201886
Brown, Mr. Benjamin Watson 23 Rd Medical Group  3278 Mitchell Blvd.    Moody Afb  GA 31699-1500229-257-3165363A00000X1669749818
Brown, Molly APRN3278 Mitchell Blvd  23rd Medical Group    Moody Afb  GA 31699-1500229-257-1459363LW0102X1962704726
Campbell, Mr. Gordon H PA3278 Mitchell Blvd      Moody Afb  GA 31699-1500850-499-0257363A00000X1710947767
Chong, Jason Sub D.M.D.3278 Mitchell Blvd      Moody Afb  GA 31699-1500601-568-1044122300000X1083039168
Collins, Rachel MS, ATC, LAT23 Mdos Sgoy  3278 Mitchell Blvd    Moody Afb  GA 31699-0001229-257-73932255A2300X1518364678
Crider, Dr. James Allen MD3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-2103207Q00000X1073506754
Damiani, Darren James 3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-4775363LF0000X1740525161
Devita, George A 23d Medical Group 3278 Mitchell Blvd      Moody Afb  GA 31699-1793315-783-5876363AM0700X1437526340
Doan, Dr. John D.O.347 Operational Support Squadron  Bld 647    Moody Afb  GA 31699-0001229-257-4685208D00000X1518347939
Eaton, David Eric PA-C23rd Medical Group (acc)      Moody Afb  GA 31605-4406520-228-2511363A00000X1588631089
Eguaibor, Mr. Victor Ikponmwosa LCSW3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-14591041C0700X1043658784
Etienne, Steven IDMT3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-4466146M00000X1932543659
Evans, Kaylaen Dittmer O.D.3278 Mitchell Blvd  Bldg 899    Moody Afb  GA 31699-1500229-257-7291152W00000X1578803201
Farley, Dr. Patricia PH.D.23 Rd Medical Group  3278 Mitchell Blvd.    Moody Afb  GA 31699-0001229-257-2890103TC0700X1639267453
MEDICAID GA : 00872429C || MEDICARE UPIN GA : 282495000
Fong, Chun Chung IDMT3278 Mitchell Blvd Bldg 900      Moody Afb  GA 31699-1500813-503-03541710I1003X1881905073
Forrest, Dr. Brent Daniel M.D.3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-2429171000000X1487092797
Gresham, Edwin Antoine LCSW3280 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-14591041C0700X1841536406
Grussendorf, Dr. Christopher Mark MD, MPH23d Medical Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-31662083A0100X1437145570
Guzman, Dr. Yvette M.D.3278 Mitchell Blvd  Moody Afb    Moody Afb  GA 31699-1500229-257-4751208000000X1811982903
High, Mrs. Amanda LMSW3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-4805104100000X1174672620
Holt, Bailey IDMT3278 Mitchell Blvd      Moody Afb  GA 31699-1500609-832-97401710I1003X1568909091
Iizuka, Dr. Koji M.D.3278 Mitchell Blvd  23rd Medical Group    Moody Afb  GA 31699-1500229-257-38982084P0800X1811213523
Lambert, Dr. Stephen DDS3278 Mitchell Blvd      Moody Afb  GA 31699-1500402-294-7312122300000X1124214333
Lin, Dr. William Karl DDS23d Medical Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-4300122300000X1508843160
Long, Dr. Delvida L. PH.D.3278 Mitchell Blvd  23d Medical Group    Moody Afb  GA 31699-1500229-257-3898103TC0700X1871543736
Lucido, Dr. Salvatore Joseph M.D.3280 Mitchell Blvd  23 Amds/flight Medicine Clinic    Moody Afb  GA 31699-1500229-257-2103207R00000X1811980451
Musser, Dr. Jason Lloyd D.O.23d Medical Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-4781207Q00000X1356320527
O'kane, Jacqueline Michele D.O.23d Medical Group  3278 Mitchell Boulevard    Moody Afb  GA 31699-1500229-257-1459207Q00000X1396085981
MEDICARE PIN SC : SC79715019 || MEDICAID SC : 357027
Overby, Dr. Zachariah MD3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-3165207Q00000X1497982060
Patterson, Ashley MS, ATC, LAT3278 Mitchell Blvd  Building 900    Moody Afb  GA 31699-1500229-257-9919171W00000X1770941254
Petrovich, Dr. Brian Dion PSYD3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-1459103T00000X1336110568
MEDICAID MO : 494703309 || MEDICARE ID MO : 220244625
Pierce, Dr. James PHARMD3278 Mitchell Blvd  Pharmacy    Moody Afb  GA 31699-1500229-257-2341183500000X1013255033
Presler, Dr. Bryan PSYD23d Medical Group 3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-1459103T00000X1295150266
Rabens, Dr. Clayton J M.D.Moody Afb Clinic  3280 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-2103207Q00000X1043310311
Rawalji, Rupal 23 Rd Medical Group  3278 Mitchell Blvd, Building 900    Moody Afb  GA 31699-0001229-257-2778363LP0200X1275960544
Richardson, Jordan Blount DPT3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-14592251X0800X1205080223
Sandmann, Mr. Nathan C PA8409 Werewolf Run  Bldg 708    Moody Afb  GA 31699-1500719-465-2890363A00000X1215171350
Sautter, Dr. Tamar Elise MD3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-3166207R00000X1912120049
Schrimsher, Dr. Genifer L. 3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-2104122300000X1265857437
Seyfried, Lavenia J ANP23 Rd Medical Group Sghc  3278 Mitchell Blvd. Moody Afb, Ga. 31699-1500    Moody Afb  GA 31699-1500229-257-3681163W00000X1952695553
Shelstad, Heidi Lynn PA-C3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-1459363A00000X1154616969
Snyder, Marcus Stefan MD23 Med Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-2103207Q00000X1043209026
Stanley, Jimmy Dee PA-C23d Medical Group  3278 Mitchell Blvd    Moody Afb  GA 31699-1500229-257-7386363AM0700X1144402264
Sturgell, Erin Rebecca DPT3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-73932251X0800X1174704399
Sutton, Mr. Stephen Michael P.T.3278 Mitchell Blvd  23d Medical Group    Moody Afb  GA 31699-1500229-257-7393225100000X1528394012
MEDICARE PIN GA : 202I654505
Tolbert, Claude Jr. 3278 Mitchell Blvd      Moody Afb  GA 31699-1500229-257-3321183500000X1205258514
Tommolino, Dr. Michael Anthony O.D.3278 Mitchell Blvd Bldg 899  Optometry Clinic    Moody Afb  GA 31699229-257-7291152W00000X1881859734


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