Doctor Name: | MR. EARNEST CHARLES WASHINGTON |
NPI Number: | 1093739468 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | IDC |
License Number: | |
Business Practice Address: | Naval Hospital Beaufort Beaufort, SC - 29902 |
Business Phone Number: | 8432283384 |
Business Fax Number: | |
Mailing Address: | 3649 Craggy Perch, DOUGLASVILLE |
State: | GA |
Postal Code: | 301358718 |
Phone Number: | 8432283384 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |