Norman, Phillip Dwayne

Norman, Phillip Dwayne is an individual health care provider with primary practice located at 1061 Uss Tennessee Ave , Cpu Kings Bay GA 31547-2601. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Norman, Phillip Dwayne can be contacted via phone (912) 573-4540.

Contact Information

Primary practice address
1061 Uss Tennessee Ave Cpu Kings Bay GA 31547-2601
Phone: (912) 573-4540
Fax: (912) 573-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1477761021
LBN Legal business name Norman, Phillip Dwayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Dec 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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