Nicholas Carroll Destefano, MD is a general practice in Fort Gordon, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee Nicholas Carroll Destefano, MD NPI is 1154776755. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
300 E HOSPITAL RD
FORT GORDON, GA
ZIP 30905
Phone: (706) 383-5299
The NPI 1154776755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/2/2016 and was last updated on 9/20/2023.