Provider First Line Business Practice Location Address:
MONCRIEF ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
IMBODEN ST
Provider Business Practice Location Address City Name:
FT JACKSON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-751-6789
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2007