Dwight M. Battle

Key facts

NPI

1891784609

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

Practice address

1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5674

Phone

(912) 435-6779

Fax

(912) 435-6863

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2011.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1891784609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6779",
            "fax_number": "912-435-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6779",
            "fax_number": "912-435-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "DWIGHT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

• Jonathan Scott Bartlett, PHARMD
• Michelle Bartley
• Scott S. Barton, M.D.
• Giovanni Aquilla Bass, L.C.S.W.
• Linda E Bassing, PTA
• Rufus Battle Jr., SOCIAL WORKER
• Dean P Baynon, CRNA
• Samantha E Bazan, FNP-C
• Daniel Ray Beam, LPC, MAC
• Tonya Bean

All providers in Fort Stewart, GA · Clinical Social Worker in Georgia