Healthcare Provider Details

I. General information

NPI: 1265590756
Provider Name (Legal Business Name): US ARMY- WOMACK ARMY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMACK ARMY MEDICAL CTR STOP A, 2817 REILLY ROAD
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

3549 ROSEBANK DR
FAYETTEVILLE NC
28311-1134
US

V. Phone/Fax

Practice location:
  • Phone: 9
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD KYNION
Title or Position: DEPARTMENT CHIEF
Credential:
Phone: 910-907-8458