| NPI | 1437500220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA ANN WITHERS Registered Dental Hygienist 912-312-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable) (Licence: GA DH009363) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |