Organization
UNITED STATES ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIS BALOCH M.D (INTERNAL MEDICINE INTERN)
(706) 305-7036
Entity
Organization
Contact information
Practice address
300 W HOSPITAL RD RM 7A-46, FORT GORDON, GA 30905-5741
(706) 305-7036
Mailing address
300 W HOSPITAL RD RM 7A-46, FORT GORDON, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
186686
NC
286500000X
Military Hospital
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—
Other
Enumeration date
08/04/2011
Last updated
10/10/2013
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