Organization
MARTIN ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CHRISTIN WICKER RD, LD (REGISTERED OUTPATIENT DIETITIAN)
(706) 544-3856
Entity
Organization
Contact information
Practice address
7950 MARTIN LOOP, COLUMBUS, GA 31905
(334) 298-9578
Mailing address
7950 MARTIN LOOP, COLUMBUS, GA 31905
(334) 298-9578
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LD002620
GA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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