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Contact Information

PHILLIP D NORMAN, IDC
1061 USS TENNESSEE AVE
KINGS BAY BASE, GA31547-2601
 Phone: 912-573-4540
 Fax: 912-573-4828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for PHILLIP D NORMAN · (Male)

NPI Number 1477761021
Status Active
Credentials IDC
Entity Individual
Enumeration date 05/18/2007
Last updated 12/11/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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