MR. James Michael White, IDMT

NPI #1063646230 in Moody Afb, Georgia

Provider Information

NPI Number: 1063646230
Entity Type: Individual
Name: MR. James Michael White, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: May 4, 2009
Last Updated: Dec 11, 2014

Practice Location

Address: 3278 MITHELL BLVD
Address 2: BLDG. 900
City: Moody Afb
State: Georgia
ZIP Code: 31699
Phone: (229) 257-8214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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