Individual provider · Type 1 NPI

Ian James Mukisa, PA

Student in an Organized Health Care Education/Training Program · Fort Gordon, GA

NPI number 1821632985 Active

Practice location

Dwight David Eisenhower Army Medical Center, 300 East Hospital Road
Fort Gordon, GA 30909-5650

Call (631) 568-1009 Map

Fax (706) 787-1745

Mailing address

300 East Hospital Road
Fort Gordon, GA 30909-5650

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Fort Gordon

See all in Fort Gordon →

About NPI 1821632985

Ian James Mukisa, PA's National Provider Identifier is 1821632985, issued on Nov 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Mar 24, 2021.