Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 46

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Military Health Care Provider Providers

NPI Name Type Address

1275625568

LCSW Evelyn Jackson

Individual

209 Miller Loop

Fort Benning

Columbus, GA

1750477550

M.D. Richard Gonzalez

Individual

7950 Martin Loop

Fort Benning

Columbus, GA

1003983354

OTR Helen Ann Santiago

Individual

300 W Hospital Road

Eisenhower Army Medical Center

Fort Gordon, GA

1083772446

MR. MPT Eric D Wessling

Individual

Building 300 Chamberlain Ave

Fort Gordon, GA

1912068818

DR. M.D. Elizabeth Shotts Bruner

Individual

Eisenhower Army Medical Center

Bldg 300 Hospital Way

Ft. Gordon, GA

1376744946

DR. M.D. Eno N Ikoku

Individual

1500 Hood Avenue

Building 720

Fort Gillem, GA

1952328528

MRS. PT Marilyn Lawrence

Individual

7950 Martin Loop

Building 9200

Fort Benning, GA

1366631053

OTR/L Nancy Torres

Individual

Amedd Professional Management Command

1401 Deshler Street Sw

Ft Mcpherson, GA

1285814830

OTR/L Robert Charlton Cooper

Individual

7950 Martin Loop Bldg 9200

Fort Benning, GA

1356510424

DR. MD Ines Gonzalez-torres

Individual

422 Floyd Cir

Hinesville, GA

1215096458

MR. IDC Zachary Bernard Strong

Individual

1000 Halsey Ave Se Bldg 550

Marietta, GA

1144490202

MR. IDEPENDENT DUTY CORP Matthew Lee Pense

Individual

814 Radford Blvd

Albany, GA

1962678235

MR. Sheldon John Phillips

Individual

300 W Hospital Rd

Eisenhower Army Medical Center, Attn: Credentials

Fort Gordon, GA

1689833063

MR. Jason Anthony Skarosi

Individual

300 W Hospital Road Eisenhower Army Medical Center

Attn Credentials

Fort Gordon, GA

1619136108

DPT Ashley Meagan Fox

Individual

300 W Hospital Rd

Ddeamc - Attn: Physical Therapy

Fort Gordon, GA

1073754891

OTR/L James Mercer Archer

Individual

2450 Ruger Dr Ne

Marietta, GA

1497059612

DR. M.D Xiomara Ivette Brown

Individual

1600 Clifton Rd Ne

Atlanta, GA

1316298144

IDC Sandra Diane Tyree

Individual

6490 Clyattstone Rd

Hahira, GA

1790023406

M.D., M.P.H. Donna Sue Muller

Individual

2715 Cosmos Dr Ne

Atlanta, GA

1235575325

DR. M.D. Gerardo Julian Soracco

Individual

4415 Northside Chase Nw

Atlanta, GA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299