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“Sports Medicine (family Medicine) Physician” (Fort Benning, GA)

Location: Fort Benning, GA
Taxonomy: Sports Medicine (family Medicine) Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1225784150 — MARK VANZO DO
Practice Location Address:
6600 VAN AALST BLVD
FORT BENNING GA
31905-2102
Practice Phone: 762-408-2273
1831422682 — KOJI NISHIMURA M.D.
Practice Location Address:
COMMANDER, USAMEDDAC AND MARTIN ARMY COMMUNITY HOSPITAL 7950 MARTIN LOOP
FORT BENNING GA
31905
Practice Phone: 706-544-4618

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