Healthcare Provider Details

I. General information

NPI: 1386334134
Provider Name (Legal Business Name): JOHN GARRETT VOLLINO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 02/28/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4389 BEAUFORT RD
CHERRY POINT NC
28533
US

IV. Provider business mailing address

4389 BEAUFORT RD
CHERRY POINT NC
28533
US

V. Phone/Fax

Practice location:
  • Phone: 252-466-5934
  • Fax: 252-466-6570
Mailing address:
  • Phone: 252-466-5934
  • Fax: 252-466-6570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number0102209001
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: