Organization
WACH,FORT STEWART,GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA S. RODRIGUEZ R.N. (CLINICAL NURSE)
(912) 435-5555
Entity
Organization
Contact information
Practice address
1061 HARMON AVE, SUITE 1 DO3 PEDIATRIC CLINIC, FORT STEWART, GA 31314-5604
(912) 435-5555
Mailing address
501 CREEK VIEW DR, HINESVILLE, GA 31313-3314
(912) 876-2107
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RN118721
GA
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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