Jason Lantz White, IDMT
NPI #1689946071 in Moody a F B, Georgia
Provider Information
- NPI Number
- 1689946071
- Entity Type
- Individual
- Name
- Jason Lantz White, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Feb 1, 2012
- Last Updated
- Feb 1, 2012
Practice Location
- Address
- 3280 MITCHELL BLVD
- City
- Moody a F B
- State
- Georgia
- ZIP Code
- 31699-1500
- Phone
- (229) 257-2105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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