| NPI | 1598095036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN MATHIS Community Care Case Manager 678-997-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 150012269) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |