IndividualActive
Grant Mcgory, IDC
NPI 1669033007 · Independent Duty Corpsman · Quantico, VA
Provider details
- NPI number
- 1669033007
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (703) 432-0384
Approximate (ZIP-level) locationGet directions
Mailing address
24164 Belleau Ave
Quantico, VA 22134-5106
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.