NPI 1225184088

Eisenhower Army Medical Center

Organisation Military Hospital Fort Gordon, GA

Practice location

Address: 300 W Hospital Road Eisenhower Army Medical Center Credentials, Fort Gordon, GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Mailing address: 300 W Hospital Road Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650

Authorised official

Name: Yvonne Lovenia Tucker-Harris
Title: Chief, Social Work Service
Phone: (706) 787-6624

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 12359 (TX)

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Registry record

NPI: 1225184088
Entity type: Organization
NPI issued: 26 Jan 2007
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.