IndividualActive
Jason White, IDMT
NPI 1689946071 · Independent Duty Medical Technicians · Moody a F B, GA
Provider details
- NPI number
- 1689946071
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Mailing address
3807 Robin Ln
Valdosta, GA 31605-5124
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2012-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.