Search › Georgia › 1710I1002X
Eric Larson, SUBMARINE IDC
NPI 1578592838 · on the registry since 2006 · sole proprietor
Practice
- Address
- 580 Uss Mariano G Vallejo Ave
Nssc Medical Kings Bay
Kings Bay, GA 31547 - Phone
- (912) 573-2939
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2008-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia