Military Health Care Provider Health Providers - GEORGIA - Page 2 of 2

171000000X - Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

List of 110 registered providers with a business address in Georgia whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 3 are registered as organizations and 107 as individuals.

97% Individuals
3% Organizations
45% Female
52% Male
97% Individual Providers (107)3% Medical Organizations (3)45% Female Providers (50)52% Male Providers (57)

List of Providers

Provider Name Type AddressMedicarePECOS
CASEY UNDERHILLIndividual380 HOSPITAL DR BLDG A SUITE 430
MACON, GA 31217
(478) 751-0181
Non-Participating ProviderYES
MISHA VESSALIIndividual300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
(706) 787-4657
Non-Participating ProviderNO
RAYMOND DANIEL VICKERYIndividual6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
(762) 408-2532
Non-Participating ProviderYES
CORINTHIANS WASHINGTON,Individual6600 VAN AALST BLVD
FORT BENNING, GA 31905
(706) 406-3309
Non-Participating ProviderYES
JENNIFER WEILERIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6633
Non-Participating ProviderNO
ERIC D WESSLINGIndividual300 EAST HOSPITAL RD
FORT GORDON, GA 30905
(706) 787-5373
Non-Participating ProviderNO
HEATHER LYNN WIDELLIndividual655 7TH ST BLDG 700 78 MDG/SGPF
ROBINS AFB, GA 31098
(478) 327-7758
Non-Participating ProviderYES
DANIELLE WILHIGHTIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderNO
GARY YONEIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6042
Non-Participating ProviderNO
LARRY YUIndividual549 PINE STREET
ROBINS AFB, GA 31098
(478) 327-0110
Accepts MedicareYES
KAREN ANN ZHUIndividual6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2532
Non-Participating ProviderYES

Showing page 2 of 2. The results table displays up to 100 results per page and is sorted by last name / organization name.

Individual Female Provider | Individual Male Provider | Medical Organization