Organization
MARTIN ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE MORGAN (CREDENTIALS MANAGER)
(706) 544-5195
Entity
Organization
Contact information
Practice address
7191 KANOPSKY AVE, BLDG. #2625, FORT BENNING, GA 31905-4540
(706) 545-1661
(706) 545-1695
Mailing address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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