Individual
TIMOTHY NICHOLAS DITTLINGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-1323
(910) 450-0914
Mailing address
323 ROCK CREEK DR S, JACKSONVILLE, NC 28540-9330
(910) 324-7173
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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