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Organization

DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARA FORD ROMES MASTER SOCIAL WORK (SOCIAL WORKER)
(706) 220-0611
Entity
Organization

Contact information

Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-2920
Mailing address
1746 DREXEL AVE, AUGUSTA, GA 30904-5044
(706) 922-5712

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary

Other

Enumeration date
08/30/2010
Last updated
08/30/2010
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