| Mr Stephen Michael Sutton, PT | |
|
3278 Mitchell Blvd, 23d Medical Group, Moody Afb, GA 31699-1500 | |
| (229) 257-7393 | |
| (229) 329-4349 |
| Full Name | Mr Stephen Michael Sutton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3278 Mitchell Blvd, Moody Afb, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528394012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT002160 (Georgia) | Primary |
| Provider Name | Care Medical Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063521250 PECOS PAC ID: 6406807015 Enrollment ID: O20050201000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Michael Sutton, PT 2804 N Oak St, Ste C, Valdosta, GA 31602-5913 Ph: (229) 257-7393 | Mr Stephen Michael Sutton, PT 3278 Mitchell Blvd, 23d Medical Group, Moody Afb, GA 31699-1500 Ph: (229) 257-7393 |
Dr. Adam K Fry, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-6364 | |
Scott M Cheney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Dr. Matthew Ryan Jimenez, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Dr. Lauren Shirley, PT, DPT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Bkvd, Moody Afb, GA 31699 Phone: 229-257-7393 | |
Dr. Ronald P Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 299-257-1459 |