Mr. Charles Keith Mahan, IDC
Mr. Charles Keith Mahan, IDC is an Independent Duty Corpsman in Norfolk, Virginia. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address may be wrong
2600 Tarawa CtNorfolk, VA 23521-3235
Phone: (757) 462-5544
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1659529964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | August 29, 2008 |
| Last updated in NPPES | August 29, 2008 |
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