Individual
GEORGE A DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23D MEDICAL GROUP 3278 MITCHELL BLVD, MOODY AFB, GA 31699-1793
(315) 783-5876
Mailing address
27082 WADDINGHAM RD, EVANS MILLS, NY 13637-3277
(315) 783-5876
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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