| Organization Name: | 78 MDG ROBINS AFB, GA |
| NPI Number: | 1215907563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN BELL (STAFF) |
| Mailing Address: | 655 7th St 78 Mdg/sghc Robins Afb |
| State: | GA US |
| Postal Code: | 310982227 |
| Phone Number: | 4783271882 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1100X |
| License Number: | GA31383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |