IndividualActive
Mc Rey Formoso
NPI 1831591163 · Surgical Technologist · Fort Stewart, GA
Provider details
- NPI number
- 1831591163
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6050
Approximate (ZIP-level) locationGet directions
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2014-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.