Individual
JOSEPH C. PENICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(706) 768-0496
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(706) 768-0496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211608
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
6188
NC
367500000X
Certified Registered Nurse Anesthetist
RN211608
GA
Other
Enumeration date
12/10/2014
Last updated
05/08/2025
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