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Jay D Carson Valid NPI

Individual provider · Independent Duty Corpsman · Kings Bay, GA

NPI
1023291788
Type
Individual (Type 1)
Primary specialty
Independent Duty Corpsman (Military Health Care Provider)
Specialty group
Other Service Providers
Taxonomy code
1710I1002X
Sex
Male
Sole proprietor
No
Enumerated
2007-12-17
Last updated
2007-12-17
Practice location
1050 Uss Gerogia Ave
Kings Bay, GA 31547
(912) 674-8679

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