IndividualActive
Shawn Moore, IDMT
NPI 1811128754 · Independent Duty Medical Technicians · Robins Afb, GA
Provider details
- NPI number
- 1811128754
- 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
655th 7th Street
Robins Afb, GA 31098
Phone: (478) 327-8126
Approximate (ZIP-level) locationGet directions
Mailing address
128 Sinton Pl
Warner Robins, GA 31098-1045
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.