# UNITED STATES ARMY

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

## Provider details

- **NPI number:** 1295049773
- **Authorized official:** DR. MICHAEL QUINN MD (INTERNAL MEDICINE PROGRAM DIRECTOR)
- **Authorized official phone:** (706) 787-0674

## Contact information

- **Practice address:** 300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
- **Practice address phone:** (706) 787-2324
- **Mailing address:** 205 SARAH CREEK CT, MARTINEZ, GA 30907-1223
- **Mailing address phone:** (785) 817-1930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | — |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010