Provider First Line Business Practice Location Address:
WOMACK ARMY MEDICAL CENTER WAMC STOP A
Provider Second Line Business Practice Location Address:
BLDG 4-2817 REILLY ROAD
Provider Business Practice Location Address City Name:
FORT BRAGG
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:
910-907-7136
Provider Business Practice Location Address Fax Number:
910-907-6069
Provider Enumeration Date:
04/15/2008