Individual provider · Type 1 NPI
Scott Durham Mitcham, HS2 NREMT-PARAMEDIC
Military Health Care Provider · Camp Lejeune, NC
NPI number
1326296641
Active
Practice location
Command Drive, Building 328
Camp Lejeune, NC 28542
Mailing address
78B Shoreline Dr
Jacksonville, NC 28540-8135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None 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.
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About NPI 1326296641
Scott Durham Mitcham, HS2 NREMT-PARAMEDIC's National Provider Identifier is 1326296641, issued on Aug 28, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Camp Lejeune, NC. The record was last updated on Aug 28, 2008.