IndividualActive
Eduardo Clemente, IDMT
NPI 1154556041 · Independent Duty Medical Technicians · Moody a F B, GA
Provider details
- NPI number
- 1154556041
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Mailing address
3807 Sedgefield Dr
Valdosta, GA 31605-6440
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2012-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.