Provider Demographics
NPI:1841277605
Name:ROCKWELL, PATRICK JOHN (HS)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:JOHN
Last Name:ROCKWELL
Suffix:
Gender:M
Credentials:HS
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Mailing Address - Street 1:1016 FORDS POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-8102
Mailing Address - Country:US
Mailing Address - Phone:912-652-4646
Mailing Address - Fax:912-652-4191
Practice Address - Street 1:US COAST GUARD AIRSTATION SAVANNAH
Practice Address - Street 2:1297 NORTH LIGHTNING ROAD HUNTER ARMY AIRFIELD
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31409
Practice Address - Country:US
Practice Address - Phone:912-652-4646
Practice Address - Fax:912-652-4191
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians