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Organization
MARTIN ARMY COMMUNITY HOSPTIAL
Active
Organization
MARTIN ARMY COMMUNITY HOSPTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER CHRISTIN WICKER R.D, L.D (OUTPATIENT REGISTERED DIETITIAN)
(706) 544-3856
Entity
Organization
Contact information
Practice address
496 MILL POND DRIVE, PHENIX CITY, AL 36867
(334) 289-9578
Mailing address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-3856
(706) 544-1377
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LD002620
GA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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