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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC WINDSOR LARSON SR., SUBMARINE IDC

Active Sole Proprietor

ERIC WINDSOR LARSON SR., SUBMARINE IDC is a Independent Duty Corpsman healthcare provider located in KINGS BAY, Georgia. NPI 1578592838 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · KINGS BAY, GA

Registration Details

NPI Number
1578592838
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2006 (19.949323461137 yrs)
Last Updated
Sep 19, 2008
Sole Proprietor
Yes

Practice Information

Address
580 USS MARIANO G VALLEJO AVE
NSSC MEDICAL KINGS BAY
KINGS BAY, GA, 31547
Browse GA providers · Browse ZIP 31547
Phone
9125732939
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in KINGS BAY, GA

Name Credential NPI
NORBERTO CAEZ IDC 1285601724
MR. EDWARD VINCENT KAY 1477521458
MR. JEFFREY SCOTT MARTIN I.D.C 1871554287
MR. FREDERIC CALDWELL PATTERSON SR. IDC 1508827197
MICHAEL TODD SHULL IDC 1972565463
JULIO ESQUILIN IDC 1356303655
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.