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“Clinical Psychologist” (Moody Afb, GA)

Location: Moody Afb, GA
Taxonomy: Clinical Psychologist.

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.
1043517089 — SAMUEL DEWAYNE OLDHAM PSYD
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1164823498 — DR. GADDIEL NIEVES PSY.D
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1864
Practice Phone: 229-257-3898

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