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

Mr. Theodore Harrison Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1972791218

Mr. Theodore Harrison Jr., IDC is an Independent Duty Corpsman in Suffolk, Virginia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3020 Silver Charm Cir
Suffolk, VA 23435-3343
Phone: (757) 375-5017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1972791218
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007

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