Tony Wayne Lyle in Kings Bay - Independent Duty Corpsman
Tony Wayne Lyle - NPI 1144429507
Tony Wayne Lyle is a Independent Duty Corpsman in Kings Bay, Georgia. Tony Wayne Lyle practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Tony Wayne Lyle is 1144429507. The last update date is 2007-07-16.
Tony Wayne Lyle's current location address is 1061 Uss Tennessee Ave, Kings Bay, Georgia. You can contact this provider via phone number 9125734540. The mailing address for Tony Wayne Lyle is 1061 Uss Tennessee Ave, Kings Bay, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tony Wayne Lyle |
|---|---|
| Address | 1061 Uss Tennessee Ave, Kings Bay, Georgia |
| Phone Number | 9125734540 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NAVY IDC |
NPI Number Detail
| NPI Number | 1144429507 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 1061 Uss Tennessee Ave |
|---|---|
| City | Kings Bay |
| State | Georgia (GA) |
| Post Code | 31547 |
| Phone Number | 9125734540 |
| 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 Tony Wayne Lyle?
The Tony Wayne Lyle has been issued the NPI (National Provider Identifier) 1144429507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tony Wayne Lyle's facilities are geographically located?
The facilities of Tony Wayne Lyle are physically situated at the following location: 1061 Uss Tennessee Ave, Kings Bay, GA, 31547.
What is Tony Wayne Lyle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tony Wayne Lyle is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
When did the Tony Wayne Lyle receive its 1144429507?
The Tony Wayne Lyle was issued its 1144429507 on 2007-07-16, which is the date when the organization was assigned this unique identifier.
When was the information related to Tony Wayne Lyle most recently updated or refreshed?
The details pertaining to the Tony Wayne Lyle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-16.