Provider First Line Business Practice Location Address:
1585 3RD ST
Provider Second Line Business Practice Location Address:
BAYNE-JONES ARMY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
FORT POLK SOUTH
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-822-8353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2017