NPI 1053037887

Jacob Matthew Nelson, IDHS

Practitioner Independent Duty Corpsman Saint Marys, GA

Practice location

Address: 563 Point Peter Rd, Saint Marys, GA 31558-4470
Phone: (912) 577-1292

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1053037887
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2022
Record last updated: 13 Oct 2022

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.