Individual
JOSHUA NATHANIEL RADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(334) 714-9087
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-2649
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101279338
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2022
Last updated
09/19/2024
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