Individual
MR. MARK TIMOTHY SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL BRANCH HEALTH CLINIC, 881 USS JAMES MADISON RD., KINGS BAY, GA 31547-2531
(912) 573-2618
Mailing address
132 LAKE WELLINGTON DR, KINGSLAND, GA 31548-5702
(912) 576-8902
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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