Wach,Fort Stewart,Ga

Primary specialty

Military HospitalTaxonomy code 286500000X

License

RN118721 Issued in GA

Legal business name

WACH,FORT STEWART,GA

Practice address

1061 Harmon Ave
Suite 1 Do3 Pediatric Clinic
Fort Stewart, GA 31314-5604

Phone

(912) 435-5555

NPI assigned

Jul 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria S. Rodriguez, R.N.

Title

Clinical Nurse

Phone

(912) 435-5555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093714461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CREEK VIEW DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133314",
            "telephone_number": "912-876-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "SUITE 1 DO3 PEDIATRIC CLINIC",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACH,FORT STEWART,GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL NURSE",
        "authorized_official_telephone_number": "912-435-5555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "RN118721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Virginia Vinsack, DH
• Brian Vogt
• Phillip Volkert, REGISTERED NURSE
• Elizabeth Anne Votta, MS RD LDN
• Wach
• Thomas Brooks Wade
• Erick Wadsworth
• Anthony Waite Sr.
• Stephen Waite, M.D.
• Veronica Waites-Moore

• Military Hospital in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.