GEORGE JAMES ANTOLICK

CHARLESTON AFB, SC
NPI1417188137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
Mr. GEORGE JAMES ANTOLICK IDMT
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6743
Mailing Address
Mr. GEORGE JAMES ANTOLICK IDMT
115 HOUSTON DR
LADSON, SC 29456-6257
Phone number: