# MARTIN ARMY COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1417038407
- **Authorized official:** DR. CHONG UN KO DPT (STAFF PHYSICAL THERAPIST)
- **Authorized official phone:** (706) 544-9196

## Contact information

- **Practice address:** 4025 RIVER ROCK WAY, COLUMBUS, GA 31907-1282
- **Practice address phone:** (706) 544-9196
- **Mailing address:** 4025 RIVER ROCK WAY, COLUMBUS, GA 31907-1282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | PT008541 | GA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020