NPI 1043427396

Michael Chad Gandy, IDC

Practitioner Independent Duty Corpsman Camp Lejeune, NC

Practice location

Address: Anti-Terrorism Battalion, 2nd Marine Division Unit 20165, Camp Lejeune, NC 28542-0165
Phone: (910) 450-9431
Fax: (910) 450-9223
Mailing address: 234 Brookstone Way, Jacksonville, NC 28546-9539

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1043427396
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.