Provider First Line Business Practice Location Address:
DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
300 E. HOSPITAL RD
Provider Business Practice Location Address City Name:
FORT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-948-4858
Provider Business Practice Location Address Fax Number:
253-968-3278
Provider Enumeration Date:
10/17/2006