Organization
UNITED STATES ARMY
Active
Organization
UNITED STATES ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL QUINN MD (INTERNAL MEDICINE PROGRAM DIRECTOR)
(706) 787-0674
Entity
Organization
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-2324
Mailing address
205 SARAH CREEK CT, MARTINEZ, GA 30907-1223
(785) 817-1930
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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