NPI 1154556041
Eduardo F Clemente, IDMT
Practice location
- Address
- 3278 Mitchell Blvd, Moody a F B, GA 31699-1500
- Phone
- (229) 257-5188
- Mailing address
- 3807 Sedgefield Dr, Valdosta, GA 31605-6440
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1154556041
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 May 2009
- Record last updated
- 7 Dec 2012
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.