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Search › Georgia › 104100000X

Deana Dacosta-Thompson

NPI 1770191058 · on the registry since 2020

Practice

Address
1061 Harmon Ave Bldg 302
Fort Stewart, GA 31314
Phone
(860) 796-8563
Fax
(912) 435-6463
Organisation at this address
U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,116

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia