MR. CHARLES MAHAN, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1659529964

Practice Address

2600 TARAWA CT
Norfolk, VA 23521

Phone: (757) 462-5544

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1659529964 is the National Provider Identifier for MR. CHARLES MAHAN, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Norfolk, VA. This NPI was enumerated on August 29, 2008.
MR. CHARLES MAHAN, IDC practices at 2600 TARAWA CT, Norfolk, VA 23521.

Quick Facts

NPI
1659529964
Type
Individual
Enumerated
Aug 29, 2008
Last Updated
Aug 29, 2008

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