Provider First Line Business Practice Location Address:
BUILDING 9203 MARNE ROAD
Provider Second Line Business Practice Location Address:
MARTIN ARMY COMMUNTIY HOSPITAL
Provider Business Practice Location Address City Name:
FT. MOORE
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:
706-544-4339
Provider Business Practice Location Address Fax Number:
706-544-4236
Provider Enumeration Date:
09/20/2006