Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 3

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Medical Physician Assistant Providers

NPI Name Type Address

1437526340

George A Devita

Individual

23d Medical Group 3278 Mitchell Blvd

Moody Afb, GA

1194898635

PA-C Lashaun Lee Vetzel

Individual

3278 Mitchell Blvd

Moody Afb, GA

1477049781

PA-C Andrew Glidewell

Individual

3278 Mitchell Blvd

Moody Afb, 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 363AM0700X
Specialization Medical
Display Name Medical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Physician Assistant

363A00000X • providers: 122,072

Surgical Physician Assistant

363AS0400X • providers: 16,971