| NPI | 1750584363 |
|---|---|
| Doing Business As | USADC CAMP SHELBY 6 |
| Entity Type | Organization |
| Authorized Contact | MARVIN PRIMOS Ubo Manager 706-787-7204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2013-01-29 |