OrganizationActive
23d Medgrp-Moody
NPI 1316907744 · Military/U.S. Coast Guard Outpatient Clinic/Center · Moody Afb, GA
Provider details
- NPI number
- 1316907744
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 23d Medgrp-Moody
- Authorized official
- Jen Lewandowski, Air Force Ubo Analyst
Practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone: (229) 257-3041
Fax: (229) 257-5528
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.