NPI 1144490202

Matthew Lee Pense, IDEPENDENTDUTYCORP

Practitioner Military Health Care Provider Albany, GA

Practice location

Address: 814 Radford Blvd, Albany, GA 31704-9998
Phone: (229) 639-7886
Mailing address: 814 Radford Blvd, Albany, GA 31704-1130

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1144490202
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 2008

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.