NPI 1588845762

James Reginald Wyche, IDC

Practitioner Independent Duty Corpsman Albany, GA

Practice location

Address: 814 Radford Blvd Suite 20328, Albany, GA 31704-1130
Phone: (229) 639-7764
Mailing address: 814 Radford Blvd Psc 20012, Albany, GA 31704-1130

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1588845762
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2007
Record last updated: 16 Nov 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.