IndividualActive
Rafael Soto
NPI 1962878306 · Independent Duty Medical Technicians · Fort Stewart, GA
Provider details
- NPI number
- 1962878306
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 315-6465
Approximate (ZIP-level) locationGet directions
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2015-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.