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Charles Mahan, IDC — NPI 1659529964, Norfolk, VA | NPI Central

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NPI 1659529964

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Charles Mahan, IDC

NPI 1659529964 · Independent Duty Corpsman · Norfolk, VA

Provider details

NPI number: 1659529964
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

2600 Tarawa Ct

Norfolk, VA 23521-3235

Phone: (757) 462-5544

More VA providers

Mailing address

2600 Tarawa Ct

Norfolk, VA 23521-3235

Registry dates

Enumerated: 2008-08-29
Last updated: 2008-08-29

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