| NPI | 1114184777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA PORTER Chief Administrator 912-435-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA GA4170) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |