Provider First Line Business Practice Location Address:
MCDONALD ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
JEFFERSON AVE BUILDING 576
Provider Business Practice Location Address City Name:
FORT EUSTIS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23604-5548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-314-7656
Provider Business Practice Location Address Fax Number:
757-314-7906
Provider Enumeration Date:
12/29/2005