NPI 1477761021

Phillip Dwayne Norman, IDC

Practitioner Independent Duty Corpsman Cpu Kings Bay, GA

Practice location

Address: 1061 Uss Tennessee Ave, Cpu Kings Bay, GA 31547-2601
Phone: (912) 573-4540
Fax: (912) 573-4828

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1477761021
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2007
Record last updated: 11 Dec 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.