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Organization

EISENHOWER ARMY MEDICAL CENTER

Active
Parent organization
EISENHOWER ARMY MEDICAL CENTER
Other names
USADC FT. GORDON SNYDER
Organization subpart
Yes

Provider details

NPI number
Legal business name
EISENHOWER ARMY MEDICAL CENTER
Authorized official
MARVIN PRIMOS (UBO MANAGER)
(706) 787-7204
Entity
Organization

Contact information

Practice address
BUILDING 25501, BRAINARD AVENUE, FORT GORDON, GA 30905
(706) 787-7050
Mailing address
300 W HOSPITAL RD BLDG W, ATTN MCHF-PAD, FORT GORDON, GA 30905-5741
(706) 787-1125

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
06/12/2007
Last updated
01/29/2013
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