| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154480846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |