IndividualActive
Roong Burket, IDMT
NPI 1447487749 · Independent Duty Medical Technicians · Moody a F B, GA
Provider details
- NPI number
- 1447487749
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
347 Oss Osm
Moody a F B, GA 31699-0001
Phone: (229) 257-3874
Approximate (ZIP-level) locationGet directions
Mailing address
2467 Muscogee Dr
Valdosta, GA 31602-5720
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2009-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.