Wach,fort Stewart,ga

NPI #1093714461 in Fort Stewart, Georgia

Provider Information

NPI Number: 1093714461
Entity Type: Organization
Organization Name: Wach,fort Stewart,ga
Primary Specialty: Military Hospital
Enumeration Date: Jul 19, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1061 HARMON AVE
Address 2: SUITE 1 DO3 PEDIATRIC CLINIC
City: Fort Stewart
State: Georgia
ZIP Code: 31314-5604
Phone: (912) 435-5555

Authorized Official

Name: MRS. MARIA S. RODRIGUEZ, R.N.
Title: CLINICAL NURSE
Phone: (912) 435-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital	286500000X	Primary

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