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NPI Code Detail

MEDICARE: US ARMY- WOMACK ARMY MEDICAL CENTER

MEDICARE: US ARMY- WOMACK ARMY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1286500000XMilitary Hospital

General Provider Information

NPI Number : 1265590756
Entity Type Code : Organization
Provider Name (Legal Business Name) : US ARMY- WOMACK ARMY MEDICAL CENTER
Provider Business Mailing Address
First Line : 3549 ROSEBANK DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-1134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : WOMACK ARMY MEDICAL CTR
Second Line : STOP A, 2817 REILLY ROAD
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 9
Fax Number :
Authorized Official
Title or Position : DEPARTMENT CHIEF
Name : DR. RICHARD KYNION
Credential :
Telephone Number : 910-907-8458
Provider Enumeration Date : 12/05/2006
Last Update Date : 08/22/2020

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Directions to “US ARMY- WOMACK ARMY MEDICAL CENTER ” Practice Location

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