NPI 1720337462
Scott B Wyatt, IDMT
Practice location
- Address
- 431 Meadowlark St, Shaw Afb, SC 29152-5019
- Phone
- (321) 961-1447
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1720337462
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Sep 2012
- Record last updated
- 12 Jun 2013
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.