MR. TIMOTHY MACON SFIDC
NPI 1164499513
Military Health Care Provider - Independent Duty Corpsman in Goose Creek, SC
About Mr. Timothy Macon Sfidc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY MACON SFIDC (NPI 1164499513) is an individual independent duty corpsman provider in Goose Creek, South Carolina and active in the NPI registry since March 2006.
NPPES Registry Identity
Specialties & Licenses
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 other supporting forces such as contractors and foreign nationals.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164499513, enumerated as an "individual" on March 03, 2006.
The provider is located at 123 SULLY ST GOOSE CREEK, SC 29445 and the phone number is (843) 797-0003.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
