NPI 1245756055

James B Raper, IDMT

Practitioner Independent Duty Medical Technicians Moody Afb, GA

Practice location

Address: 3278 Mitchell Blvd, Moody Afb, GA 31699-1302
Phone: (229) 257-5447
Mailing address: 7196 Savannah St # B, Moody Afb, GA 31699-1635

Registered specialties (2)

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Paramedic

Emergency Medical Service Providers Taxonomy 146L00000X

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Registry record

NPI: 1245756055
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2017
Record last updated: 27 Jul 2023

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.