IndividualActive
Anthony Shattuck, SOIDC
NPI 1780838524 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1780838524
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2d Marine Special Operations Battalion
Psc 20183
Camp Lejeune, NC 28542
Phone: (910) 450-7704
Approximate (ZIP-level) locationGet directions
Mailing address
2d Marine Special Operations Battalion
Camp Lejeune, NC 28542
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2008-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.