Individual
TREY COLE ADDAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG A71 2D RECON, CAMP LEJUNE, NC 28547
(910) 440-7273
Mailing address
5057 WESTERN BLVD APT 2E, JACKSONVILLE, NC 28546-6890
(317) 397-5850
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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