Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Justin Garofolo Mannick, IDC

Individual provider Independent Duty Corpsman · NPI 1982837621

Mr. Justin Garofolo Mannick, IDC is an Independent Duty Corpsman in Jacksonville, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

614 Graystone Ave
Jacksonville, NC 28540
Phone: (910) 581-0733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1982837621
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedAugust 28, 2009
Last updated in NPPESAugust 28, 2009
Mailing address302 Venetian Blvd, Lindenhurst, NY 11757-6307

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