325 MDG
Psychologist · Tyndall Afb, FL
Practice location
325 MDG Bldg1305 Suwannee Ave
Tyndall Afb, FL 32403
- Phone
- (850) 283-7511
- Fax
- (850) 283-7721
NPI record
- NPI
- 1568436962
- Entity type
- Organization (Type 2)
- Enumeration date
- February 14, 2006
- Last updated
- June 13, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
PY5848 | FL |
Mailing address
2405 Maple CtPanama City, FL 32404-3047
- Phone
- (850) 283-7511
- Fax
- (850) 283-7721
Authorized official
- Name
- Dr. George Nicholas Jr.
- Title
- 325 MDG Commander
- Phone
- (850) 283-7515
About 325 MDG
325 MDG is a healthcare organization registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 325 MDG Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403. The NPI number 1568436962 was assigned on February 14, 2006 and the record was last updated on June 13, 2008.
325 MDG lists a license in the registry: #PY5848 (FL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. George Nicholas Jr., 325 MDG Commander.
Frequently asked questions
What is the NPI number of 325 MDG?
The NPI number is 1568436962.
What is the phone number of 325 MDG?
The phone number listed for the practice location is (850) 283-7511.
Where is 325 MDG located?
325 MDG Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403.
What is the taxonomy code for 325 MDG?
The primary taxonomy code is 103T00000X – Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Psychologist providers in Tyndall Afb
- Oliver Henry Bauer, PSYD340 Magnolia Cir Bldg 1465