Provider First Line Business Practice Location Address:
4575 STEWART ST.
Provider Second Line Business Practice Location Address:
MONCRIEF ARMY COMMUNITY HOSPITAL TMC
Provider Business Practice Location Address City Name:
FORT JACKSON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29207-5720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-751-8588
Provider Business Practice Location Address Fax Number:
803-751-5242
Provider Enumeration Date:
09/22/2005