| NPI | 1629357934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIS BALOCH Internal Medicine Intern 706-305-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: NC 186686) |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-10-10 |