Individual
ROWDY PAMETICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
952 PONI PL, DIAMONDHEAD, MS 39525-4135
(228) 813-4000
Mailing address
2603 LOWER GAINSVILLE RD, STENNIS CTR, MS 39529-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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