Organization
WACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI RENE RIDER (SONOGRAPHER)
(912) 332-4787
Entity
Organization
Contact information
Practice address
200 CARLIE CT, HINESVILLE, GA 31313-3810
(912) 332-4787
Mailing address
200 CARLIE CT, HINESVILLE, GA 31313-3810
(912) 332-4787
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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