US Army, 3Id, 3BCT, Sledgehammer TMC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

US ARMY, 3ID, 3BCT, SLEDGEHAMMER TMC

Practice address

BLDG 9052, Watkins Ave
Sledgehammer TMC,
Ft Benning, GA 31905

Phone

(706) 544-3290

Fax

(706) 544-1113

NPI assigned

Nov 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M Hughes, PA-C

Title

BN PA

Phone

(706) 544-3290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1861769846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CROSSWINDS DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204859",
            "telephone_number": "931-538-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 9052, WATKINS AVE",
            "address_2": "SLEDGEHAMMER TMC,",
            "city": "FT BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-3290",
            "fax_number": "706-544-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY, 3ID, 3BCT, SLEDGEHAMMER TMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BN PA",
        "authorized_official_telephone_number": "706-544-3290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendell Dixon Treusdell, RPH
• Kaydee Trojanowski, OTR, CHT
• Brent Turpin
• Brandon Kristopher Tutt
• John Franklin Underwood, D.M.D.
• Barry Alan Vance, CRNA
• Seth Vernon Vande Kamp, DO
• Mark Vanzo, DO
• Marielena Cecilia Vasquez, M.D.
• Traci Vasquez, PT, DPT

• Clinic/Center in Ft Benning, GA
• Providers in Ft Benning, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.