United States Coast Guard

NPI #1649366980 in Saluda, Virginia

Provider Information

NPI Number
1649366980
Entity Type
Organization
Organization Name
United States Coast Guard
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Oct 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
30 URBANNA CREEK CT
City
Saluda
ZIP Code
23149-3075
Phone
(804) 758-1631

Authorized Official

Name
MR. KENNETH RAY MITCHELL JR., M.A.
Title
HEALTH SERVICE TECHNICIAN
Phone
(757) 856-2230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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