# USAMEDDAC FT EUSTIS VA

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

## Provider details

- **NPI number:** 1578541520
- **Authorized official:** MR. GEORGE NORMAN WILLIAMS III BSN (ARMY PUBLIC HEALTH NURSE)
- **Authorized official phone:** (757) 878-4110

## Contact information

- **Practice address:** BLDG 2792 HARRISON LOOP, PREVENTIVE MEDICINE, FORT EUSTIS, VA 23604
- **Practice address phone:** (757) 878-4110
- **Practice address fax:** (757) 878-4533
- **Mailing address:** 128 KENILWORTH DR, NEWPORT NEWS, VA 23606-4025
- **Mailing address phone:** (757) 223-0653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | RN162229 | GA | Yes |

## Other

- **Enumeration date:** 01/09/2006
- **Last updated:** 08/22/2020