| George A Devita, | |
|
23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1793 | |
| (315) 783-5876 | |
| Not Available |
| Full Name | George A Devita |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437526340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George A Devita, 27082 Waddingham Rd, Evans Mills, NY 13637-3277 Ph: (315) 783-5876 | George A Devita, 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1793 Ph: (315) 783-5876 |
Mrs. Cindy Catherine Rullo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Shawn Philip Knight, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-6144 | |
Mrs. Jennifer Paccassi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Lashaun Lee Vetzel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-1459 | |
Robert Niewoonder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-292-3719 | |
Gregory Ford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-5820 | |
Ryan Woolfe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |