DEPARTMENT OF DEFENSE

Physician Assistant - Medical

Active Organization
NPI: 1851668834

Practice Address

41ST STREET
BLDG 40709 ROOM 207 DDEAMC; MEB, PAD
Fort Gordon, GA 30905

Phone: (706) 787-1102

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 0010-02514 (NC)

Frequently Asked Questions

NPI 1851668834 is the National Provider Identifier for DEPARTMENT OF DEFENSE, a Physician Assistant - Medical provider located in Fort Gordon, GA. This NPI was enumerated on November 19, 2011.

Quick Facts

NPI
1851668834
Type
Organization
Enumerated
Nov 19, 2011
Last Updated
Nov 19, 2011

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