| NPI | 1174699466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG SAM KIM Family Nurse Practitioner 706-544-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: KY 1047558) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |