IndividualActive
Cody Patton, SO-IDC
NPI 1639735947 · Independent Duty Corpsman · Camp Lejeune, Nc, NC
Provider details
- NPI number
- 1639735947
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SO-IDC
- Sex
- Male
- Sole proprietor
- No
Practice location
3rd Marine Raider Battalion
Bldg 614
Camp Lejeune, Nc, NC 28542
Phone: (517) 748-1171
Mailing address
3rd Marine Raider Battalion
Camp Lejeune, NC 28542
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2019-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.