person
Misha Vessali
Military Health Care Provider in Fort Gordon, Georgia
NPI 1205527306

Misha Vessali is a Military Health Care Provider based in Fort Gordon, GA. Misha Vessali practices in Fort Gordon, GA. The NPI Number for Misha Vessali is 1205527306 and holds a License No. (Georgia).

The current practice location address for Misha Vessali is 300 East Hospital Road, Fort Gordon, GA and can be reached out via phone at 706-787-4657.

Location: 300 East Hospital Road, Fort Gordon, GA, 30905-5650
person
Provider Profile Details
NPI Number
1205527306
Provider Name
Misha Vessali
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 East Hospital Road, Fort Gordon, GA, 30905-5650
Phone Number
706-787-4657
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 East Hospital Road
City
State
Zip
30905-5650
Phone Number
706-787-4657
Fax Number
person
Provider Business Mailing Address Details
Address
300 East Hospital Road
City
State
Zip
30905-5650
Phone Number
706-787-4657
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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