| NPI | 1366850117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUDEEN OTTUN Assistant Chief Pharmacy 706-544-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA rph025911) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: GA Rph025911) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |