IndividualActive
Abdalla Abouhaib, SO-ATP
NPI 1063287738 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1063287738
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SO-ATP
- Sex
- Male
- Sole proprietor
- No
- License
- 02238959AA (NC)
Practice location
2d Reconnaissance Bn
Pcs 20138
Camp Lejeune, NC 28542-0138
Phone: (910) 440-7703
Mailing address
2d Reconnaissance Battalion
Camp Lejeune, NC 28542-0138
Registry dates
- Enumerated
- 2023-11-22
- Last updated
- 2023-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.