Individual
DR. DANE DOUGLAS DICARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
75053
GA
Other
Enumeration date
06/06/2014
Last updated
11/30/2021
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