Phillip Dwayne Norman in Cpu Kings Bay - Independent Duty Corpsman
Phillip Dwayne Norman - NPI 1477761021
Phillip Dwayne Norman is a Independent Duty Corpsman in Cpu Kings Bay, Georgia. Phillip Dwayne Norman practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Phillip Dwayne Norman is 1477761021. The last update date is 2007-12-11.
Phillip Dwayne Norman's current location address is 1061 Uss Tennessee Ave, Cpu Kings Bay, Georgia. You can contact this provider via phone number 9125734540 and fax number 9125734828. The mailing address for Phillip Dwayne Norman is 1061 Uss Tennessee Ave, Cpu Kings Bay, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Dwayne Norman |
|---|---|
| Address | 1061 Uss Tennessee Ave, Cpu Kings Bay, Georgia |
| Phone Number | 9125734540 |
| Fax Number | 9125734828 |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1477761021 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 1061 Uss Tennessee Ave |
|---|---|
| City | Cpu Kings Bay |
| State | Georgia (GA) |
| Post Code | 315472601 |
| Phone Number | 9125734540 |
| Fax Number | 9125734828 |
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Phillip Dwayne Norman?
The Phillip Dwayne Norman has been issued the NPI (National Provider Identifier) 1477761021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Phillip Dwayne Norman is physically located?
The Phillip Dwayne Norman is physically situated at the following address: 1061 Uss Tennessee Ave, Cpu Kings Bay, GA, 315472601.
What is the area of specialization for Phillip Dwayne Norman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Dwayne Norman is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of expertise is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477761021 to Phillip Dwayne Norman?
The Centers for Medicare & Medicaid Services originally issued the 1477761021 to Phillip Dwayne Norman on 2007-05-18.
When was the Phillip Dwayne Norman's information last updated?
The Phillip Dwayne Norman's information was last updated on 2007-12-11.