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Organization

US ARMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH HESSE M.D. (BATTALION SURGEON)
(912) 435-0011
Entity
Organization

Contact information

Practice address
1790 WILLIAM H WILSON AVE, FORT STEWART, GA 31314-3100
(912) 435-0011
Mailing address
1790 WILLIAM H WILSON AVE, FORT STEWART, GA 31314-3100

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
12890
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M8074351
NREMT REG #
01
NR00426616
NREMT CANDIDATE ID
Enumeration date
03/04/2015
Last updated
03/04/2015
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