Provider First Line Business Practice Location Address:
CAMPBELL AIRFIELD MEDICAL HOME 7149 BLACK SHEEP RUN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT CAMPBELL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42223-1693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-412-8688
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2014