Provider First Line Business Practice Location Address:
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
300 EAST HOSPITAL ROAD
Provider Business Practice Location Address City Name:
FORT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30909-5650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-568-1009
Provider Business Practice Location Address Fax Number:
706-787-1745
Provider Enumeration Date:
11/01/2019