Individual provider · Type 1 NPI

Matthew Lee Pense, IDEPENDENT DUTY CORP

Military Health Care Provider · Albany, GA

NPI number 1144490202 Active

Practice location

814 Radford Blvd
Albany, GA 31704-9998

Call (229) 639-7886 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

11 other providers at this address

About NPI 1144490202

Matthew Lee Pense, IDEPENDENT DUTY CORP's National Provider Identifier is 1144490202, issued on Mar 5, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Albany, GA. The record was last updated on Mar 5, 2008.