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NPI 1003526989

IndividualActive

Daniel Callicoat, SOIDC

NPI 1003526989 · Independent Duty Corpsman · Camp Lejeune, NC

Provider details

NPI number: 1003526989
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: SOIDC
Sex: Male
Sole proprietor: No

Practice location

Bldg Rr 361

Camp Lejeune, NC 28540

Phone: (910) 440-2504

More NC providers

Mailing address

Bldg Rr 361

Camp Lejeuen, NC 28540

Registry dates

Enumerated: 2022-12-01
Last updated: 2022-12-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Daniel Callicoat, SOIDC — NPI 1003526989, Camp Lejeune, NC | NPI Central