NPI 1093947780
Army
Practice location
- Address
- 202 Vineyard Way APT. 601, Evans, GA 30809
- Phone
- (787) 914-6038
- Mailing address
- 2020 Vineyard Way, Evans, GA 30809-9146
Authorised official
- Name
- Javier M Vazquez-Ortiz
- Title
- Pgy-1/Ty
- Phone
- (787) 914-6038
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1093947780
- Entity type
- Organization
- NPI issued
- 14 Aug 2009
- Record last updated
- 19 Aug 2009
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.