Organization · Type 2 NPI
Eisenhower Army Medical Center
Primary Care Clinic/Center · Fort Gordon, GA
NPI number
1154480846
Active
Practice location
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30907
Fax (706) 787-8276
Mailing address
3126 Fieldstone Circle
Augusta, GA 30907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1154480846
Eisenhower Army Medical Center's National Provider Identifier is 1154480846, issued on Dec 8, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Gordon, GA. The record was last updated on Aug 22, 2020.