Organization
EISENHOWER ARMY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE D. BEVERLY (PHYSICIAN ASSISTANT)
(706) 787-5170
Entity
Organization
Contact information
Practice address
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30907
(706) 787-2720
(706) 787-8276
Mailing address
3126 FIELDSTONE CIRCLE, AUGUSTA, GA 30907
(706) 860-0867
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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