NPI 1407081409

Darrell Mayers, IDMT

Practitioner Independent Duty Medical Technicians Shaw a F B, SC

Practice location

Address: 431 Meadowlark St, Shaw a F B, SC 29152-5019
Phone: (803) 895-6624

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1407081409
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2009
Record last updated: 19 May 2009

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.