Amc Eisenhower

NPI #1215036983 in Ft Gordon, Georgia

Provider Information

NPI Number
1215036983
Entity Type
Organization
Organization Name
Amc Eisenhower
Subpart
Yes (part of a larger organization)
Parent Organization
AMC EISENHOWER
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 21, 2006
Last Updated
Jun 11, 2025

Practice Location

Address
AVENUE B BLDG 29709
Address 2
MARK CONNELLY HEALTH CLINIC
State
Georgia
ZIP Code
30905
Phone
(706) 787-5167

Authorized Official

Name
HECTOR MORALES
Title
DHA POD SR PROGRAM ANALYST
Phone
(210) 536-6650

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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