IndividualActive
Andrew Elliott, IDC
NPI 1942407952 · Independent Duty Corpsman · Jacksonville, NC
Provider details
- NPI number
- 1942407952
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
106 Thorntree Ct
Jacksonville, NC 28540
Phone: (951) 533-2146
Approximate (ZIP-level) locationGet directions
Mailing address
106 Thorntree Ct
Jacksonville, NC 28540
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.