Individual
JACE A GREENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
A66 BOAT BASIN RD, HUBERT, NC 28539
(507) 440-6090
Mailing address
BB260 COURTHOUSE BAY ROAD, HUBERT, NC 28539
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/26/2023
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