Individual
MR. ROBERT DENNIS PRESTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BRACH MEDICAL CLINIC, NAVAL SUPPORT ACTIVITY MID-SOUTH, MILLINGTON, TN 38054
(901) 874-6100
Mailing address
6035 SAVITZ DR, MILLINGTON, TN 38053-2729
(858) 472-6169
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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