Individual
RUSS C GARLINGHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
RR 616, STONE BAY, NC 28460
(910) 440-1947
Mailing address
120 SAGES RIDGE DR, HOLLY RIDGE, NC 28445-7994
(208) 874-7637
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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