Eisenhower Army Medical Center

NPI #1396949657 in Fort Gordon, Georgia

Provider Information

NPI Number
1396949657
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 12, 2007
Last Updated
Jan 29, 2013

Practice Location

Address
BUILDING 25501, BRAINARD AVENUE
State
Georgia
ZIP Code
30905
Phone
(706) 787-7050

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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