Individual
NEELY FRANK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
504 COMPANY D STREET, CAMP LEJEUNE, NC 28542-0042
(910) 450-0786
Mailing address
PSC BOX 8023, BLDG. 4389, CHERRY POINT, NC 28533-0023
(252) 466-0396
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
07/15/2025
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