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NPI 1578032504

IndividualActive

Brendon Dumas, SOIDC

NPI 1578032504 · Independent Duty Corpsman · Camp Lejeune, NC

Provider details

NPI number: 1578032504
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: SOIDC
Sex: Male
Sole proprietor: No

Practice location

Rr612 Everett Creek Road

Camp Lejeune, NC 28542

Phone: (910) 440-1947

More NC providers

Mailing address

512 Blackberry Ct

Hubert, NC 28539-4092

Registry dates

Enumerated: 2018-11-20
Last updated: 2018-11-20

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

Brendon Dumas, SOIDC — NPI 1578032504, Camp Lejeune, NC | NPI Central