| Organization Name: | USAMEDDAC FT EUSTIS VA |
| NPI Number: | 1578541520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE NORMAN WILLIAMS (ARMY PUBLIC HEALTH NURSE) |
| Mailing Address: | Bldg 2792 Harrison Loop Preventive Medicine Fort Eustis |
| State: | VA US |
| Postal Code: | 23604 |
| Phone Number: | 7578784110 |
| Fax Number: | 7578784533 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | RN162229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |