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 |