NPI 1366850117

Defense Finance & Actg Serv

Organisation Military Hospital Fort Benning, GA

Practice location

Address: 7950 Martin Loop, Fort Benning, GA 31905-5648
Phone: (706) 544-0347
Mailing address: 5462 Whittlesey Blvd APT# 927, Columbus, GA 31909-2185

Authorised official

Name: Tajudeen Ottun
Title: Assistant Chief Pharmacy
Phone: (706) 544-0347

Registered specialties (2)

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence RPH025911 (GA)

Other Military Hospital providers in Georgia →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence RPH025911 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1366850117
Entity type: Organization
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 2014

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.