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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