NPI 1528635471
Charles Tucker Hall, SOIDC
Practice location
- Address
- 2d Marine Division 2d Reconnaissance Battalion, Camp Lejune, NC 28542-0138
- Phone
- (414) 514-5304
- Mailing address
- 2d Marine Division, 2d Reconnaissance Battalion Psc Box 20138, Camp Lejune, NC 28542-0138
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1528635471
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jun 2021
- Record last updated
- 9 Jun 2021
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.