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Organization

HQ AIR FORCE RESERVE COMMAND

Active
Other names
AFRC SG
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ALTON HARRISON IDMT (COMMAND FUNCTIONAL MANAGER)
(478) 327-1893
Entity
Organization

Contact information

Practice address
135 PAGE RD, ROBINS AFB, GA 31098-1601
(478) 327-1893
Mailing address
135 PAGE RD, ROBINS AFB, GA 31098-1601
(478) 327-1893

Taxonomy

Speciality
Code
Description
License number
State
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Primary

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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