NPI 1063646230

James Michael White, IDMT

Practitioner Independent Duty Medical Technicians Moody Afb, GA

Practice location

Address: 3278 Mithell Blvd Bldg. 900, Moody Afb, GA 31699
Phone: (229) 257-8214
Mailing address: 3278 Mitchell Blvd Bldg. 900, Moody Afb, GA 31699-1500

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1063646230
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2009
Record last updated: 11 Dec 2014

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.