Tatyana Ygnacia Carlson, IDMT

NPI #1700560471 in Moody Afb, Georgia

Provider Information

NPI Number
1700560471
Entity Type
Individual
Name
Tatyana Ygnacia Carlson, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 13, 2023
Last Updated
Dec 13, 2023

Practice Location

Address
710 VANGUARD WAY
State
Georgia
ZIP Code
31699-8704
Phone
(229) 257-2778

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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