Department of Defense
Department of Defense is a Medical Physician Assistant in Fort Gordon, Georgia. Licensed in North Carolina. Registered with an NPI since 2011.
- Licensed in
- NC
- In the registry since
- 2011
Practice location Address checks out
41ST St Bldg 40709 Rm 207 Ddeamc; Meb PadFort Gordon, GA 30905
Phone: (706) 787-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 0010-02514 (NC) |
|---|
Record details
| NPI number | 1851668834 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hector Luna — Captain/Physician'S Assistant · (706) 787-1102 |
| NPI enumerated | November 19, 2011 |
| Last updated in NPPES | November 19, 2011 |
| Mailing address | 41st Street, Bldg 40709 Room 207 Ddeamc; Meb, Pad, Fort Gordon, GA 30905 |
Other providers in Fort Gordon
-
Mr. Donald L. Edwards, PA-C
300 W Hospital Rd Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5741 · (706) 787-2720
-
Mr. Claude Eugene Lett III, PA-C
Eamc Gastroenterology, Fort Gordon, GA 30905 · (706) 787-8600
-
Mr. Gordon Andrew Marshall, PHYSICIANASSISTANT
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 · (706) 787-2720
-
MS. Maria Teresa Richard, PAC
300 W Hospital Rd, Fort Gordon, GA 30905-5741 · (706) 727-2720