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Mr. Matthew Lee Pense, IDEPENDENTDUTYCORP
Military Health Care Provider in Albany, Georgia
NPI 1144490202

Matthew Lee Pense is a Military Health Care Provider based in Albany, GA. Matthew Lee Pense practices in Albany, GA and has the professional credentials of IDEPENDENTDUTYCORP. The NPI Number for Matthew Lee Pense is 1144490202 and holds a License No. (Georgia).

The current practice location address for Matthew Lee Pense is 814 Radford Blvd, Albany, GA and can be reached out via phone at 229-639-7886.

Location: 814 Radford Blvd, Albany, GA, 31704-1130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144490202
Provider Name
Matthew Lee Pense
Credential
IDEPENDENTDUTYCORP
Provider Entity Type
Individual
Gender
Male
Address
814 Radford Blvd, Albany, GA, 31704-1130
Phone Number
229-639-7886
Fax Number
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
814 Radford Blvd
City
Albany
State
Georgia
Zip
31704-9998
Phone Number
229-639-7886
Fax Number
person
Provider Business Mailing Address Details
Address
814 Radford Blvd
City
Albany
State
Georgia
Zip
31704-9998
Phone Number
229-639-7886
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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