Marty Lynn Golightly in San Diego - Independent Duty Corpsman
Marty Lynn Golightly - NPI 1821051020
Marty Lynn Golightly is a Independent Duty Corpsman in San Diego, California. Marty Lynn Golightly practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Marty Lynn Golightly is 1821051020. The last update date is 2007-07-08.
Marty Lynn Golightly's current location address is 35000 Guadalcanal Ave, San Diego, California. You can contact this provider via phone number 6195244043. The mailing address for Marty Lynn Golightly is 35000 Guadalcanal Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marty Lynn Golightly |
|---|---|
| Address | 35000 Guadalcanal Ave, San Diego, California |
| Phone Number | 6195244043 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1821051020 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 35000 Guadalcanal Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921405599 |
| Phone Number | 6195244043 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique provider identifier assigned to Marty Lynn Golightly?
The Marty Lynn Golightly has been issued the NPI (National Provider Identifier) 1821051020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Marty Lynn Golightly is located?
The Marty Lynn Golightly is situated at the following address: 35000 Guadalcanal Ave, San Diego, CA, 921405599.
What is Marty Lynn Golightly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marty Lynn Golightly is Independent Duty Corpsman, and the corresponding taxonomy classification code for this specialized field is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821051020 to Marty Lynn Golightly?
The Centers for Medicare & Medicaid Services assigned the 1821051020 to Marty Lynn Golightly on 2006-04-10.
When was the information pertaining to Marty Lynn Golightly most recently updated or revised?
The details related to Marty Lynn Golightly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY