NPI 1043747553

Rowdy Pameticky, IDC

Practitioner Independent Duty Corpsman Diamondhead, MS

Practice location

Address: 952 Poni Pl, Diamondhead, MS 39525-4135
Phone: (228) 813-4000
Mailing address: 2603 Lower Gainsville Rd, Stennis Ctr, MS 39529-0001

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1043747553
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2017
Record last updated: 15 May 2017

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.