Eisenhower Army Medical Center

NPI #1346443017 in Fort Gordon, Georgia

Provider Information

NPI Number
1346443017
Entity Type
Organization
Organization Name
Eisenhower Army Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
EISENHOWER ARMY MEDICAL CENTER
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jun 8, 2007
Last Updated
Jan 29, 2013

Practice Location

Address
300 W HOSPITAL RD
Address 2
USA ORAL HEALTH CENTER
State
Georgia
ZIP Code
30905-5741
Phone
(706) 787-2601

Authorized Official

Name
MARVIN PRIMOS
Title
UBO MANAGER
Phone
(706) 787-7204

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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