Eisenhower Army Medical Center | |
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30907 | |
(706) 787-2720 | |
(706) 787-8276 |
Full Name | Eisenhower Army Medical Center |
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Speciality | Clinic/center - Primary Care |
Location | 300 W Hospital Road, Fort Gordon, Georgia |
Authorized Official Name and Position | Eugene D. Beverly (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 7067875170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eisenhower Army Medical Center 3126 Fieldstone Circle Augusta GA 30907 Ph: (706) 860-0867 | Eisenhower Army Medical Center 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30907 Ph: (706) 787-2720 |
NPI Number | 1154480846 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1154480846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |