person
Dr. Dane Douglas Dicaro, DO
General Practice Physician in Fort Stewart, Georgia
NPI 1639582620

Dane Douglas Dicaro is a General Practice Physician based in Fort Stewart, GA. Dane Douglas Dicaro practices in Fort Stewart, GA and has the professional credentials of DO. The NPI Number for Dane Douglas Dicaro is 1639582620 and holds a License No. (Georgia).

The current practice location address for Dane Douglas Dicaro is 1061 Harmon Ave, Fort Stewart, GA and can be reached out via phone at 912-435-5965.

Location: 1061 Harmon Ave, Fort Stewart, GA, 31314-5641
person
Provider Profile Details
NPI Number
1639582620
Provider Name
Dane Douglas Dicaro
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1061 Harmon Ave, Fort Stewart, GA, 31314-5641
Phone Number
912-435-5965
Fax Number
Provider Enumeration Date
06/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-5965
Fax Number
person
Provider Business Mailing Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-5965
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
75053 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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