# UNITED STATES ARMY

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

## Provider details

- **NPI number:** 1629357934
- **Authorized official:** DR. HARRIS BALOCH M.D (INTERNAL MEDICINE INTERN)
- **Authorized official phone:** (706) 305-7036

## Contact information

- **Practice address:** 300 W HOSPITAL RD RM 7A-46, FORT GORDON, GA 30905-5741
- **Practice address phone:** (706) 305-7036
- **Mailing address:** 300 W HOSPITAL RD RM 7A-46, FORT GORDON, GA 30905-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 186686 | NC | Yes |
| 286500000X | Military Hospital | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2011
- **Last updated:** 10/10/2013