| NPI | 1275670200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTIN WICKER Registered Outpatient Dietitian 706-544-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA LD002620) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |