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“Medical Physician Assistant” (Fort Bragg, NC)

Location: Fort Bragg, NC
Taxonomy: Medical Physician Assistant.

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.
1063481018 — MR. CHARLES MANSON WYATT PA-C
Practice Location Address:
M-48611 LOGISTICS AVE JOEL HEALTH CLINIC
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-9166
1114462819 — JOSHUA SMEBY PA-C
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-3688
Practice Phone: 910-907-6000
1134442197 — JENNIFER SWIERZ PA-C
Practice Location Address:
WOMACK ARMY MEDICAL CTR
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-9262
1154485977 — VERONICA L ALSTON PA-C
Practice Location Address:
JOEL HEALTH CLINIC BLDG 4851
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-5635
1164720686 — JONATHAN ROBERTS HALLER DSC, PA-C
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1174593636 — DAN HEIDENREICH PA-C
Practice Location Address:
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A
FORT BRAGG NC
28310-7324
Practice Phone: 910-907-6000
1225091994 — MRS. SANDRA MOORE MURRELL PA-C
Practice Location Address:
WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-7000
1235171869 — MRS. SHERRY LYNN WOMACK PA-C
Practice Location Address:
M4861 LOGISTICS AVE
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-9209
1245217900 — GERALD DOUGLAS DEPOLD
Practice Location Address:
2817 REILLY RD WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-7324
Practice Phone: 910-907-8922
1265740674 — MR. ROGER LEON HARRISON
Practice Location Address:
2817 REILLY ROAD MXCX-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310
Practice Phone: 910-907-8922
1295806271 — STEVEN S GAY PA-C
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-5570
Practice Phone: 910-570-3301
1316375421 — STEPHEN MICHAEL WITTE
Practice Location Address:
GRUBER RD BLDG C-1722
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8282
1396145454 — MEYASSAR ROBINZINE
Practice Location Address:
2175 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
Practice Phone: 910-643-2142
1497049332 — GEOFFREY WASHBURN PA-C
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-1009
Practice Phone: 910-907-8922
1538285077 — MRS. MAKISHA TAMSEN OWENS PA-C
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1568936532 — JAMES BARBOSA PA-C
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-8663
Practice Phone: 910-907-8707
1578020947 — MS. MALLORY SHANNON SCHULZE PA-C
Practice Location Address:
2817 REILLY ST
FORT BRAGG NC
28310-7324
Practice Phone: 901-907-6508
1598891517 — JEFFREY ALAN WEISS PA
Practice Location Address:
WOMACK ARMY HOSPITAL
FORT BRAGG NC
28304-0000
Practice Phone: 910-432-1095
1609849835 — MR. JERRY LYNN JOHNSTON PA-C
Practice Location Address:
WOMACK ARMY MEDICAL CENTER MCXC-COD, CREDENTIALS OFFICE, ATTN: SHEILA BLACKWELL
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1609952100 — MR. PHILLIP THOMAS JANSSEN MPAS
Practice Location Address:
2817 REILLY ROAD MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1609983360 — MS. WILDA ANN MCCAIN PA
Practice Location Address:
WOMACK ARMY MEDICAL CENTER PHYSICAL EXAMS REILLY RD
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8296
1619253523 — KURT KRESTA PA-C
Practice Location Address:
2817 RIELLY RD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310
Practice Phone: 910-907-8922
1679059737 — CHARLES BILLIG PA-C
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1679542955 — MR. ROBERT JAMES OYLER PA-C
Practice Location Address:
WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-432-6925
1689759466 — MICHAEL LOUIS LADA NCCPA #1054881
Practice Location Address:
2817 REILLY ROAD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1760443071 — MR. DAVID W. MYERS PA-C
Practice Location Address:
BLDG 5-4257 BASTOGNE STREET EXTENSION
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-2575
1760513642 — MS. NYLA ELIZABETH THOMPSON PA-C
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-4751
Practice Phone: 910-457-8030
1801287776 — PATRICK CHANEY PA-C
Practice Location Address:
2817 ROCK MERRIT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-3424
Practice Phone: 910-907-8922
1841809837 — ANDREW FINN PA-C
Practice Location Address:
0-1900 LAMONT ROAD
FORT BRAGG NC
28310-4613
Practice Phone: 910-643-1414
1851384770 — CHRISTOPHER BRITT DOMINGUEZ PA-C
Practice Location Address:
BUILDING 139 SOTF
FORT BRAGG NC
28307-5000
Practice Phone: 910-643-0729
1871100727 — STEVEN GEORGE REED PHYSICIAN ASSISTANT
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-5102
Practice Phone: 910-907-8922
1942261219 — MR. JOHN SAWYER EDWARDS III PA-C
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922

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