IndividualActive
Austin Shepherd, IDMT
NPI 1902496326 · Independent Duty Medical Technicians · Fort Benning, GA
Provider details
- NPI number
- 1902496326
- 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
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone: (762) 408-0493
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Capehart Rd
Bellevue, NE 68123
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.