Individual
MR. DONALD DWAYNE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
USN IDC
Contact information
Practice address
PSC BOX 20106, MARINE SPECIAL OPERATIONS ADVISOR GROUP, CAMP LEJEUNE, NC 28542
(910) 916-2568
Mailing address
106 SHADY KNOLL LN, JACKSONVILLE, NC 28546-9411
(910) 916-2568
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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