Individual
SAMUEL K MCBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUB-IDC
Contact information
Practice address
110 THORN TREE CT, JACKSONVILLE, NC 28540-9711
(405) 514-8574
Mailing address
110 THORN TREE CT, JACKSONVILLE, NC 28540-9711
(405) 514-8574
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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