Troop Medical Clinic #4
NPI #1588653158 in Ft. Stewart, Georgia
Provider Information
- NPI Number
- 1588653158
- Entity Type
- Organization
- Organization Name
- Troop Medical Clinic #4
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Oct 17, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1061 HARMON AVE, STE 1D03
- Address 2
- WINN ARMY COMMUNITY HOSPITAL
- City
- Ft. Stewart
- State
- Georgia
- ZIP Code
- 31314-5611
- Phone
- (912) 435-6933
Authorized Official
- Name
- MR. PATRICK MICHAEL PARKS, PHYSICIAN ASSISTANT
- Title
- PHYSICIAN ASSISTANT
- Phone
- (912) 435-5179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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