MICHAEL OWEN CONGDON

BEAUFORT, SC
NPI1588690465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-06-23
Last Update Date2007-07-08
Business Address
Mr. MICHAEL OWEN CONGDON IDC
1 PINCKNEY BLVD
BEAUFORT, SC 29902-6122
Phone number: 843-228-2318
Mailing Address
Mr. MICHAEL OWEN CONGDON IDC
50 TELFAIR DR
BEAUFORT, SC 29907-1349
Phone number: 843-379-5195