# DWIGHT D EISENHOWER MEDICAL CENTER

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

## Provider details

- **NPI number:** 1225465511
- **Authorized official:** MS. LESLIE WALKER ROBERSON MAED, CLIN PSY INTER (MAJ/DOT)
- **Authorized official phone:** (706) 787-5624

## Contact information

- **Practice address:** 300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
- **Practice address phone:** (706) 787-5624
- **Mailing address:** 300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
- **Mailing address phone:** (706) 787-5624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 10/11/2013