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Individual

MR. ERIC JAMES MOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(843) 252-8035
Mailing address
2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(843) 252-8035

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
11/07/2007
Last updated
11/07/2007
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