Provider First Line Business Practice Location Address:
DDEAMC, DEPARTMENT OF RADIOLOGY
Provider Second Line Business Practice Location Address:
300 HOSPITAL RD.
Provider Business Practice Location Address City Name:
FT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-2175
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2006