Individual
WESTLEY MICHAEL DURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDR
Contact information
Practice address
580 USS MARIANO G. VALLEJO AVE, NSSC MEDICAL, KINGS BAY, GA 31547
(912) 573-2939
(912) 573-4534
Mailing address
241 WOODBRIDGE RD, KINGSLAND, GA 31548-3380
(912) 573-2939
(912) 573-4534
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/18/2007
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