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Contact Information

DANE D DICARO, DO
1061 HARMON AVE
STE 1D03
FORT STEWART, GA31314-5641
 Phone: 912-435-5965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for DANE D DICARO · (Male)

NPI Number 1639582620
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/06/2014
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 75053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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