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

John Thacker II, USAFIDMT

Individual provider Independent Duty Medical Technicians · NPI 1023771615

John Thacker II, USAFIDMT is an Independent Duty Medical Technicians in Robins AFB, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

655 7th St Unit 700
Robins AFB, GA 31098-2227
Phone: (606) 923-3485
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 number1023771615
Entity typeIndividual (Type 1)
GenderMale
Credentials USAFIDMT
Sole proprietorNo
NPI enumeratedOctober 20, 2021
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address200 Saint Augustine Dr, Bonaire, GA 31005-3782

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