# US NAVY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 2nd Marine Raider BN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245823608
- **Authorized official:** MR. JACOB WAYNE AKINS SOIDC (IDC)
- **Authorized official phone:** (903) 821-0599

## Contact information

- **Practice address:** CAMP LEIJUNE, JACKSONVILL, NC 28460
- **Practice address phone:** (910) 440-4460
- **Mailing address:** 2551 OLD DORCHESTER RD, SHERMAN, TX 75092-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1102X | Military Outpatient Operational (Transportable) Component Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2021
- **Last updated:** 02/17/2021