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NPI Code Detail

MEDICARE: MARTIN ARMY COMMUNITY HOSPITAL

MEDICARE: MARTIN ARMY COMMUNITY HOSPITAL
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 : 1780942664
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN ARMY COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 8830 WATKINS AVE
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-5529
Country : US
Telephone Number : 706-544-5195
Fax Number :
Provider Business Practice Location Address
First Line : 8830 WATKINS AVE
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-5529
Country : US
Telephone Number : 706-544-5195
Fax Number :
Authorized Official
Title or Position : PHYSICIAN ASSISTANT
Name : MR. ROBERT MARCUS KERCHOFER
Credential : PA-C
Telephone Number : 706-544-5226
Provider Enumeration Date : 04/27/2012
Last Update Date : 04/27/2012

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Directions to “MARTIN ARMY COMMUNITY HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.