Defense Finance & Actg Serv | |
7950 Martin Loop Fort Benning GA 31905-5648 | |
(706) 544-0347 | |
Not Available |
Full Name | Defense Finance & Actg Serv |
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Speciality | Military Hospital |
Location | 7950 Martin Loop, Fort Benning, Georgia |
Authorized Official Name and Position | Tajudeen Ottun (ASSISTANT CHIEF PHARMACY) |
Authorized Official Contact | 7065440347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Defense Finance & Actg Serv 5462 Whittlesey Blvd Apt# 927 Columbus GA 31909-2185 Ph: (850) 322-0680 | Defense Finance & Actg Serv 7950 Martin Loop Fort Benning GA 31905-5648 Ph: (706) 544-0347 |
NPI Number | 1366850117 |
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Provider Enumeration Date | 07/24/2014 |
Last Update Date | 07/24/2014 |
Identifier | Type | State | Issuer |
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1366850117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | RPH025911 (Georgia) | Secondary |
286500000X | Military Hospital | RPH025911 (Georgia) | Primary |