Individual
SCOTT DURHAM MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS2 NREMT-PARAMEDIC
Contact information
Practice address
COMMAND DRIVE, BUILDING 328, CAMP LEJEUNE, NC 28542
(910) 376-0785
Mailing address
78B SHORELINE DR, JACKSONVILLE, NC 28540-8135
(910) 376-0785
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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