| NPI | 1417038407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONG UN KO Staff Physical Therapist 706-544-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA PT008541) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |