IndividualActive
Christina Koch, IDC
NPI 1316584543 · Independent Duty Corpsman · Jacksonville, NC
Provider details
- NPI number
- 1316584543
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
104 Eagle River Ct
Jacksonville, NC 28540-7745
Phone: (252) 503-6069
Approximate (ZIP-level) locationGet directions
Mailing address
104 Eagle River Ct
Jacksonville, NC 28540-7745
Registry dates
- Enumerated
- 2019-12-06
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.