# FEDERAL GOVERNMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114184777
- **Authorized official:** BONITA PORTER (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (912) 435-6633

## Contact information

- **Practice address:** 1061 HARMON AVE, FORT STEWART, GA 31314-5641
- **Practice address phone:** (912) 435-5454
- **Mailing address:** 1061 HARMON AVE, FORT STEWART, GA 31314-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | GA4170 | GA | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008