2nd Marine Division
Clinic/Center, Military Outpatient Operational (Transportable) Component in Camp Lejuene, NC. Organization (NPI-2).
NPI number1790976496
StatusActive
Last updated in NPPESAug 7, 2007
Details
- NPI
- 1790976496
- Entity type
- Organization (NPI-2)
- Legal business name
- 2nd Marine Division
- Organization subpart
- No
- Enumeration date
- Aug 7, 2007
- Last updated
- Aug 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | – | – | Yes |
Practice location
French Creek Gas, Clr 27, 2nd MlgCamp Lejuene, NC 28547
Phone 910-451-5125
Mailing address
1802 Harriette DrKinston, NC 28504-6722
Phone 252-522-4895
Authorized official
George Semple
Division Surgeon
9104518372
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