Provider First Line Business Practice Location Address:
BLDG 4-2817 BIX 281 FORT BRAGG
Provider Second Line Business Practice Location Address:
WOMACK ARMY MEDICAL CENTER (WAMC)
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-2614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-868-1296
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2006