Individual
NORBERTO CAEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-2939
(912) 573-3761
Mailing address
105 SUNNYSIDE LN, SAINT MARYS, GA 31558-4708
(912) 673-6085
(912) 573-3761
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I002X
INDEPENDENT DUTY CORSPMAN
—
Enumeration date
03/03/2006
Last updated
07/08/2007
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