Individual
MR. MICHAEL OWEN CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-2318
Mailing address
50 TELFAIR DR, BEAUFORT, SC 29907-1349
(843) 379-5195
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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