institution
Lawrence Joel Army Health Clinic
Military Outpatient Operational (Transportable) Component Clinic/Center in Ft Mcpherson, Georgia
NPI 1265516470

Lawrence Joel Army Health Clinic is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Atlanta, GA and is specialized in Military Outpatient Operational (Transportable) Component. Lawrence Joel Army Health Clinic practices in Ft Mcpherson, GA. The NPI Number for Lawrence Joel Army Health Clinic is 1265516470 and holds a License No. 11620 (Georgia).

The current practice location address for Lawrence Joel Army Health Clinic is 1701 Hardee Ave, Ft Mcpherson, GA and can be reached out via phone at 404-464-0304 and via fax at 404-464-0303. You can also correspond with Lawrence Joel Army Health Clinic through the mailing address at 2156 SPINK ST NW, ATLANTA, GA - 30318-1154 (mailing address contact number: 404-792-5919).

Location: 1701 Hardee Ave, Ft Mcpherson, GA, 30318-1154
institution
Provider Profile Details
NPI Number
1265516470
Provider Name
Lawrence Joel Army Health Clinic
Credential
Provider Entity Type
Organization
Address
1701 Hardee Ave, Ft Mcpherson, GA, 30318-1154
Phone Number
404-464-0304
Fax Number
404-464-0303
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1701 Hardee Ave
City
State
Zip
30330
Phone Number
404-464-0304
Fax Number
404-464-0303
person
Provider Business Mailing Address Details
Address
2156 Spink St Nw
City
State
Zip
30318-1154
Phone Number
404-792-5919
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
License No.
11620 (Georgia)
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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