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

Mr. George James Antolick, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1417188137

Mr. George James Antolick, IDMT is an Independent Duty Medical Technicians in Charleston AFB, South Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

204 W Hill Blvd
Charleston AFB, SC 29404-4704
Phone: (843) 963-6743
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 number1417188137
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 29, 2009

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