Mark Timothy Sizemore in Kingsland - Independent Duty Corpsman
Mark Timothy Sizemore - NPI 1669409215
Mark Timothy Sizemore is a Independent Duty Corpsman in Kingsland, Georgia. Mark Timothy Sizemore practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Mark Timothy Sizemore is 1669409215. The last update date is 2007-07-08.
Mark Timothy Sizemore's current location address is 132 Lake Wellington Dr, Kingsland, Georgia. You can contact this provider via phone number 9125768902. The mailing address for Mark Timothy Sizemore is 132 Lake Wellington Dr, Kingsland, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Timothy Sizemore |
|---|---|
| Address | 132 Lake Wellington Dr, Kingsland, Georgia |
| Phone Number | 9125768902 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1669409215 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 132 Lake Wellington Dr |
|---|---|
| City | Kingsland |
| State | Georgia (GA) |
| Post Code | 315485702 |
| Phone Number | 9125768902 |
| 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 10-digit identifier code assigned to Mark Timothy Sizemore by the Centers for Medicare & Medicaid Services?
The Mark Timothy Sizemore has been issued the NPI (National Provider Identifier) 1669409215 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Timothy Sizemore's facilities are situated?
The facilities of Mark Timothy Sizemore are physically located at the following address: 132 Lake Wellington Dr, Kingsland, GA, 315485702.
What is Mark Timothy Sizemore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Timothy Sizemore is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
When was the Mark Timothy Sizemore's 1669409215 issued?
The Mark Timothy Sizemore's 1669409215 was issued on 2006-06-27.
As of what date were the details pertaining to Mark Timothy Sizemore last refreshed?
The information related to the Mark Timothy Sizemore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.