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

Mr. David Layne Frederick Jr., IDMT

Individual provider Independent Duty Medical Technicians · NPI 1821334244

Mr. David Layne Frederick Jr., IDMT is an Independent Duty Medical Technicians in Seymour Johnson A F B, North Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1050 Jabarrah Ave
Seymour Johnson A F B, NC 27531-2310
Phone: (919) 722-1522
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 number1821334244
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedDecember 13, 2012
Last updated in NPPESDecember 13, 2012

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