Organization
MARTIN ARMY COMMUNITY HOSPTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER CHRISTIN WICKER R.D, L.D (OUTPATIENT REGISTERED DIETITIAN)
(706) 544-3856
Entity
Organization
Contact information
Practice address
496 MILL POND DRIVE, PHENIX CITY, AL 36867
(334) 289-9578
Mailing address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-3856
(706) 544-1377
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LD002620
GA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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