Organization
DWIGHT D EISENHOWER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE WALKER ROBERSON MAED, CLIN PSY INTER (MAJ/DOT)
(706) 787-5624
Entity
Organization
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5624
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5624
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/11/2013
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