IndividualActive
Drayton Hale, IDC
NPI 1689557076 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1689557076
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
96 Locust Cir
Groton, CT 06340-3024
Phone: (850) 368-9561
Approximate (ZIP-level) locationGet directions
Mailing address
96 Locust Cir
Groton, CT 06340-3024
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.