Jonathan Platner, IDC

Individual provider Active NPI Independent Duty Corpsman · Saucier, MS

NPI 1245208917 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1245208917
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
19314 High PL
Saucier, MS 39574-7529
Phone
(228) 871-2810
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

19314 High PL
Saucier, MS 39574-7529

Mailing address

19314 High PL
Saucier, MS 39574-7529

Other providers in Saucier, MS

All providers in Saucier, MS · Independent Duty Corpsman in Mississippi

Sources for this page

Verify at the official NPI Registry.