MR. Phillip Dwayne Norman, IDC
NPI #1477761021 in Cpu Kings Bay, Georgia
Provider Information
- NPI Number
- 1477761021
- Entity Type
- Individual
- Name
- MR. Phillip Dwayne Norman, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 18, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 1061 USS TENNESSEE AVE
- City
- Cpu Kings Bay
- State
- Georgia
- ZIP Code
- 31547-2601
- Phone
- (912) 573-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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