Individual
HEATH HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 LOUIS STREET, CAMP LEJEUNE, NC 28547
(910) 449-9965
Mailing address
PSC BOX 20073, CAMP LEJEUNE, NC 28542-0073
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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