MR. JUSTIN GAROFOLO MANNICK IDC
NPI 1982837621
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Active since August 28, 2009
614 GRAYSTONE AVE, JACKSONVILLE, NC 28540(910) 581-0733 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Justin Garofolo Mannick Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN GAROFOLO MANNICK IDC (NPI 1982837621) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1982837621
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JUSTIN GAROFOLO MANNICKCredential: IDC
Location Address614 GRAYSTONE AVEJacksonville, NC 28540
Mailing Address302 Venetian BlvdLindenhurst, NY 11757-6307 · (910) 581-0733
Sole ProprietorYes
Enumeration DateAugust 28, 2009
NPI 1982837621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

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.

614 GRAYSTONE AVE, Jacksonville, NC 28540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Mannick's NPI number?

The NPI number for Justin Mannick is 1982837621. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Justin Mannick located?

Justin Mannick practices at 614 Graystone Ave, Jacksonville, NC 28540. The listed phone number is (910) 581-0733.

What is Justin Mannick's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Justin Mannick was last updated on August 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.