NPI 1295049773

United States Army

Organisation Military General Acute Care Hospital Fort Gordon, GA

Practice location

Address: 300 W Hospital Rd, Fort Gordon, GA 30905-5741
Phone: (706) 787-2324
Mailing address: 205 Sarah Creek CT, Martinez, GA 30907-1223

Authorised official

Name: Michael Quinn
Title: Internal Medicine Program Director
Phone: (706) 787-0674

Registered specialties (2)

Military General Acute Care Hospital Primary

Hospitals Taxonomy 2865M2000X

Other Military Hospital providers in Georgia →

Military/U.S. Coast Guard Outpatient Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1100X

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1295049773
Entity type: Organization
NPI issued: 27 Jul 2010
Record last updated: 27 Jul 2010

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.