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“Independent Duty Medical Technicians” (Moody Afb, GA)

Location: Moody Afb, GA
Taxonomy: Independent Duty Medical Technicians.

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.
1003643685 — JAHEEM R PRIOLEAU
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 292-257-2778
1063256832 — AUSTIN THOMAS GEER IDMT
Practice Location Address:
23 MDG 3280 MITCHELL BLVD, BLDG 900
MOODY AFB GA
31699
Practice Phone: 229-257-2778
1063646230 — MR. JAMES MICHAEL WHITE IDMT
Practice Location Address:
3278 MITHELL BLVD BLDG. 900
MOODY AFB GA
31699
Practice Phone: 229-257-8214
1083492870 — CONNOR ANDREW HENSON IDMT
Practice Location Address:
5178 BURMA RD
MOODY AFB GA
31699-0001
Practice Phone: 918-344-1110
1124580311 — CHRISTOPHER BERRIOS IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-5638
Practice Phone: 229-257-9580
1194069443 — MRS. LEIGH ANN JONES IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 210-452-1345
1255802484 — MR. KILLIAN AER VILES IDMT
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-5529
Practice Phone: 229-257-2778
1457098063 — ELIZABETH GUADALUPE CHAVEZ
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1467936104 — HEATHER BROWN IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-228-2778
1508240284 — FRANK PAUL YUVAN III IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2924
1518510528 — JEFFREY ALAN UTZ
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-6144
1528379732 — RAQUEL SHELLY SOLIVAN WILSON IDMT
Practice Location Address:
23 MEDICAL GROUP/SGPF 3278 MITCHELL BLVD BLD 900
MOODY AFB GA
31699-8273
Practice Phone: 229-257-4685
1558673996 — JAMES SKY HOWELL IDMT-P
Practice Location Address:
3278 MITCHELL BLVD BLDG 900
MOODY AFB GA
31699-3120
Practice Phone: 229-257-8214
1568132082 — RHANNIEBOY MENDOZA ESPIRITU
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1568909091 — BAILEY HOLT IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 609-832-9740
1598298135 — ZACK HUNTER IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1062
Practice Phone: 229-257-5281
1700560471 — TATYANA YGNACIA CARLSON IDMT
Practice Location Address:
710 VANGUARD WAY
MOODY AFB GA
31699-8704
Practice Phone: 229-257-2778
1730663477 — GLEN SNYDER IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 256-553-9949
1750016986 — TYLER AUSTIN MATTAS
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-9402
Practice Phone: 520-861-6058
1750159661 — INDRA MOON VARGAS IDMT
Practice Location Address:
3280 MITCHELL BLVD BLDG 900
MOODY AFB GA
31699-2607
Practice Phone: 210-884-4625
1750979852 — TRYSTAN JAMES SELF IDMT
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-1541
Practice Phone: 229-257-2778
1780237792 — JANCARLO JAVIER TORRES-MARTINEZ IDMT, NRP, FP-C
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1821450123 — CORY NEWBY IDMT
Practice Location Address:
3280 MITCHELL BLVD
MOODY AFB GA
31699-9907
Practice Phone: 210-292-7400
1831725381 — BRADLEY JAMES CONNAHEY
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 904-477-7683
1861375768 — SAMANTHA DURHAM IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1881905073 — CHUN CHUNG FONG IDMT
Practice Location Address:
3278 MITCHELL BLVD BLDG 900
MOODY AFB GA
31699-1500
Practice Phone: 813-503-0354
1912392333 — JENNIFER ANDERSON
Practice Location Address:
7196 B SAVANNAH ST
MOODY AFB GA
31699
Practice Phone: 229-257-5447
1912481656 — COLIN MICHAEL MULLALY IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-7569
1952936825 — DYLAN M MORALES
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778
1972213320 — RALEIGH G. O'LEARY IDMT
Practice Location Address:
3278 MITCHELL BLVD BLDG 900
MOODY AFB GA
31699-1500
Practice Phone: 229-257-1347
1982120796 — BYRON REED IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-3165
1982586962 — MR. ADAM J FEWOX IDMT
Practice Location Address:
3278 MITCHELL BLVD
MOODY AFB GA
31699-1500
Practice Phone: 229-257-2778

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