NPI 1083492870

Connor Andrew Henson, IDMT

Practitioner Independent Duty Medical Technicians Moody Afb, GA

Practice location

Address: 5178 Burma Rd, Moody Afb, GA 31699-0001
Phone: (918) 344-1110

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1083492870
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2023
Record last updated: 29 Jan 2026

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.