PHILLIP DWAYNE NORMAN

CPU KINGS BAY, GA
NPI1477761021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-18
Last Update Date2007-12-11
Business Address
Mr. PHILLIP DWAYNE NORMAN IDC
1061 USS TENNESSEE AVE
CPU KINGS BAY, GA 31547-2601
Phone number: 912-573-4540
Mailing Address
Mr. PHILLIP DWAYNE NORMAN IDC
1061 USS TENNESSEE AVE
CPU KINGS BAY, GA 31547-2601
Phone number: 912-573-4540
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