Provider First Line Business Practice Location Address:
7950 MARNE LOOP
Provider Second Line Business Practice Location Address:
MARTIN ARMY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
FT BENNING
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-544-3102
Provider Business Practice Location Address Fax Number:
706-544-2144
Provider Enumeration Date:
10/11/2006