NPI 1003643685

Jaheem R Prioleau

Practitioner Independent Duty Medical Technicians Moody Afb, GA

Practice location

Address: 3280 Mitchell Blvd, Moody Afb, GA 31699-1500
Phone: (292) 257-2778

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1003643685
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2024
Record last updated: 4 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.