Provider First Line Business Practice Location Address:
MARTIN ARMY COMMUNITY HOSPITAL-FM RESIDENCY
Provider Second Line Business Practice Location Address:
6600 VAN AALST BLVD BLDG 9250
Provider Business Practice Location Address City Name:
FORT 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:
762-408-2532
Provider Business Practice Location Address Fax Number:
762-408-2719
Provider Enumeration Date:
05/17/2021