Organization
MARTIN ARMY COMMUNITY HOSPITAL
Active
Parent organization
MARTIN ARMY COMMUNITY HOSPITAL
Other names
USADC FT. BENNING REC STA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Authorized official
KERTREDIA DAVIS MS, CRCR,CHLIS, CCA (UBO MANAGER)
(762) 408-0007
Entity
Organization
Contact information
Practice address
3020 SAND HILL, 11TH AIRBORNE DIVISION ROAD, FORT BENNING, GA 31905
(706) 544-8994
Mailing address
6600 VAN AALST BLVD BLDG 9250, ATTN MCXB-PP, FORT BENNING, GA 31905-2102
(762) 408-2273
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
10/05/2020
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