Connor Andrew Henson, IDMT

NPI #1083492870 in Moody Afb, Georgia

Provider Information

NPI Number: 1083492870
Entity Type: Individual
Name: Connor Andrew Henson, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Sep 21, 2023
Last Updated: Jan 29, 2026

Practice Location

Address: 5178 BURMA RD
City: Moody Afb
State: Georgia
ZIP Code: 31699-0001
Phone: (918) 344-1110

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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