Individual provider · Type 1 NPI
Casey Lee Goodman, IDC
Independent Duty Corpsman · China Grove, NC
Practice location
255 Fry St
China Grove, NC 28023-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | 22874783 (NC) |
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…
About NPI 1588916233
Casey Lee Goodman, IDC's National Provider Identifier is 1588916233, issued on Oct 4, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in China Grove, NC. The record was last updated on Nov 16, 2022.