Provider First Line Business Practice Location Address:
DWIGHT D EISENHOWER ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
300 E. HOSPITAL RD.
Provider Business Practice Location Address City Name:
FORT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905-5741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-5864
Provider Business Practice Location Address Fax Number:
706-787-3999
Provider Enumeration Date:
06/13/2006