Provider First Line Business Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT LIBERTY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-109-0782
Provider Business Practice Location Address Fax Number:
910-907-6069
Provider Enumeration Date:
09/20/2005