NPI 1093714461
Wach,fort Stewart,ga
Practice location
- Address
- 1061 Harmon Ave Suite 1 Do3 Pediatric Clinic, Fort Stewart, GA 31314-5604
- Phone
- (912) 435-5555
- Mailing address
- 501 Creek View Dr, Hinesville, GA 31313-3314
Authorised official
- Name
- Maria S. Rodriguez
- Title
- Clinical Nurse
- Phone
- (912) 435-5555
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1093714461
- Entity type
- Organization
- NPI issued
- 19 Jul 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.