Individual
MR. JAMES RYAN HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1183
NC
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/25/2013
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