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Individual

MR. BRETT CORY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2D MEDICAL BATTALION PSC BOX 20129, CHARLIE SURGICAL COMPANY, CAMP LEJEUNE, NC 28542-0129
(847) 848-6781
Mailing address
2D MEDICAL BATTALION PSC BOX 20129, CHARLIE SURGICAL COMPANY, CAMP LEJEUNE, NC 28542-0129

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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