Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL LEE SHORT, IDC
Active Sole ProprietorRUSSELL LEE SHORT, IDC is a Independent Duty Corpsman healthcare provider located in WILMINGTON, North Carolina. NPI 1336355239 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · WILMINGTON, NC
Registration Details
- NPI Number
- 1336355239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.24849932367 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7513 BRITTANY LAKES DRWILMINGTON, NC, 28411Browse NC providers · Browse ZIP 28411
- Phone
- 9105415341
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| WILLIAM LEE FAIRALL | SOIDC | 1336471374 |
| MR. MICHAEL CAMERON LEWIS | IDC | 1457673022 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.