Individual provider · Type 1 NPI

Charles Keith Mahan, IDC

Independent Duty Corpsman · Norfolk, VA

NPI number 1659529964 Active

Practice location

2600 Tarawa Ct
Norfolk, VA 23521-3235

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 1659529964

Charles Keith Mahan, IDC's National Provider Identifier is 1659529964, issued on Aug 29, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Norfolk, VA. The record was last updated on Aug 29, 2008.