| NPI | 1770664849 |
|---|---|
| Other Name | MEDDAC |
| Entity Type | Organization |
| Authorized Contact | JAMES KELLY SMITH Physician Assistant 706-544-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: GA 01807) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |