Organization · Type 2 NPI

Us Army, 3id, 3bct, Sledgehammer TMC

Clinic/Center · Fort Benning, GA

NPI number 1861769846 Active

Practice location

Bldg 9052, Watkins Ave, Sledgehammer Tmc,
Fort Benning, GA 31905

Fax (706) 544-1113

Mailing address

1028 Crosswinds Dr
Midland, GA 31820-4859

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

About NPI 1861769846

Us Army, 3id, 3bct, Sledgehammer TMC's National Provider Identifier is 1861769846, issued on Nov 19, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Benning, GA. The record was last updated on Nov 19, 2011.