GEORGE A DEVITA

MOODY AFB, GA
NPI1437526340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
-- GEORGE A DEVITA
23D MEDICAL GROUP 3278 MITCHELL BLVD
MOODY AFB, GA 31699-1793
Phone number: 315-783-5876
Mailing Address
-- GEORGE A DEVITA
27082 WADDINGHAM RD
EVANS MILLS, NY 13637-3277
Phone number: 315-783-5876
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