MICHAEL TODD SHULL

KINGS BAY, GA
NPI1972565463
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-04-03
Last Update Date2007-07-08
Business Address
MICHAEL TODD SHULL IDC
881 USS JAMES MADISON RD
KINGS BAY, GA 31547-2531
Phone number: 912-573-2410
Mailing Address
MICHAEL TODD SHULL IDC
108 HONEYSUCKLE RD
KINGSLAND, GA 31548-6486
Phone number: 912-576-8169
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