| NPI | 1104031194 |
|---|---|
| Doing Business As | CAMP SHELBY |
| Entity Type | Organization |
| Authorized Contact | MARVIN PRIMOS Ubo Manager 706-787-7204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-29 |