Lawrence Joel Army Health Clinic

NPI #1265516470 in Ft Mcpherson, Georgia

Provider Information

NPI Number
1265516470
Entity Type
Organization
Organization Name
Lawrence Joel Army Health Clinic
Primary Specialty
Clinic/Center - Military Outpatient Operational (Transportable) Component
Enumeration Date
Oct 24, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1701 HARDEE AVE
State
Georgia
ZIP Code
30330
Phone
(404) 464-0304

Authorized Official

Name
MRS. CARMEN RAKESTRAW AGNEW, RPH
Title
STAFF PHARMACIST
Phone
(404) 464-0304

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military Outpatient Operational (Transportable) ComponentMilitary Outpatient Operational (Transportable) Component

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