Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colin Michael Mullaly, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1912481656

Colin Michael Mullaly, IDMT is an Independent Duty Medical Technicians in Moody AFB, Georgia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3278 Mitchell Blvd
Moody AFB, GA 31699-1500
Phone: (229) 257-7569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1912481656
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address3278 Mitchell Blvd, Moody Afb, GA 31699-1500

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