Organization
US NAVY
Active
Other names
2nd Marine Raider BN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB WAYNE AKINS SOIDC (IDC)
(903) 821-0599
Entity
Organization
Contact information
Practice address
CAMP LEIJUNE, JACKSONVILL, NC 28460
(910) 440-4460
Mailing address
2551 OLD DORCHESTER RD, SHERMAN, TX 75092-7022
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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