Organization
MARTIN ARMY HOSPITAL
Active
Organization
MARTIN ARMY HOSPITAL
Active
Other names
MEDDAC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KELLY SMITH JR. PA (PHYSICIAN ASSISTANT)
(706) 544-9426
Entity
Organization
Contact information
Practice address
TMC #5, 11TH AIRBORNE DIVISION ROAD, FT. BENNING, GA 31901
(706) 544-9426
Mailing address
1629 PRESTON DR, COLUMBUS, GA 31906-1642
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
01807
GA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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