Organization
FORT STEWART DENTAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA ANN WITHERS RDH (REGISTERED DENTAL HYGIENIST)
(912) 312-3352
Entity
Organization
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 312-3352
Mailing address
343 WARRIOR ROAD, FORT STEWART, GA 31314
(912) 312-3352
Taxonomy
Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
DH009363
GA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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