Organization
DEWITT ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTELL L. ALLISON (LICENSED PRACTICAL NURSE)
(703) 805-0169
Entity
Organization
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0599
Mailing address
9926 GARDENIA LN, MANASSAS, VA 20109-5413
(703) 335-5065
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0002063555
VA
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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