Individual provider · Type 1 NPI

Garrett T. Hannon

Independent Duty Corpsman · Groton, CT

NPI number 1295644631 Active

Practice location

1 Wahoo Ave
Groton, CT 06349-2324

Call (860) 694-4123 Map

Mailing address

12 Paradise Ln
Taftville, CT 06380

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1295644631

Garrett T. Hannon's National Provider Identifier is 1295644631, issued on Sep 2, 2026. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Groton, CT. The record was last updated on Sep 2, 2026.