Daniel Scott Porterfield

Individual provider Active NPI Independent Duty Corpsman · Sneads Ferry, NC

NPI 1487294682 · NPPES record last updated Jan 15, 2020

Key facts

NPI
1487294682
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
Building Rr612
Loop Rd
Sneads Ferry, NC 28460
Phone
(910) 440-1947
NPI assigned
Jan 15, 2020
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

Building Rr612
Loop Rd
Sneads Ferry, NC 28460

Mailing address

PSC Box 20116
Camp Lejeune, NC 28542
Phone (910) 440-1947

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Independent Duty Corpsman in North Carolina

Sources for this page

Verify at the official NPI Registry.