Eisenhower Army Medical Center
NPI #1427131432 in Fort Gordon, Georgia
Provider Information
- NPI Number
- 1427131432
- 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
- Oct 23, 2006
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 29709 B STREET
- City
- Fort Gordon
- State
- Georgia
- ZIP Code
- 30905-5741
- Phone
- (706) 787-5811
Authorized Official
- Name
- MARVIN PRIMOS
- Title
- UBO MANAGER
- Phone
- (706) 787-7204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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