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

Jason Lantz White, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1689946071

Jason Lantz White, IDMT is an Independent Duty Medical Technicians in Moody A F B, Georgia. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3280 Mitchell Blvd
Moody A F B, GA 31699-1500
Phone: (229) 257-2105
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 number1689946071
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedFebruary 1, 2012
Last updated in NPPESFebruary 1, 2012

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