Individual
CHARLES TUCKER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2D MARINE DIVISION, 2D RECONNAISSANCE BATTALION, CAMP LEJUNE, NC 28542-0138
(414) 514-5304
Mailing address
2D MARINE DIVISION, 2D RECONNAISSANCE BATTALION, PSC BOX 20138, CAMP LEJUNE, NC 28542-0138
(414) 514-5304
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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