NPI 1386652956
Ahc Moncrief-Jackson
Practice location
- Address
- 4500 Stuart St, Fort Jackson, SC 29207-5720
- Phone
- (803) 751-2160
- Mailing address
- 4500 Stuart St Box 497, Fort Jackson, SC 29207-5720
Authorised official
- Name
- Mariye McCray
- Title
- Ubo Manager
- Phone
- (803) 751-0472
Registered specialties (3)
Military General Acute Care Hospital
Primary
Military/U.S. Coast Guard Outpatient Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Registry record
- NPI
- 1386652956
- Entity type
- Organization
- NPI issued
- 3 Aug 2006
- Record last updated
- 22 May 2025
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.