NPI 1447487749

Roong Robert Burket, IDMT

Practitioner Independent Duty Medical Technicians Moody a F B, GA

Practice location

Address: 347 Oss Osm, Moody a F B, GA 31699-0001
Phone: (229) 257-3874
Mailing address: 2467 Muscogee Dr, Valdosta, GA 31602-5720

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1447487749
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2009
Record last updated: 15 Jun 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.