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

Raquel Shelly Solivan Wilson, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1528379732

Raquel Shelly Solivan Wilson, IDMT is an Independent Duty Medical Technicians in Moody AFB, Georgia. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

23 Medical Group/sgpf 3278 Mitchell Blvd Bld 900
Moody AFB, GA 31699-8273
Phone: (229) 257-4685
Fax: (229) 257-3242
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 number1528379732
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Other providers in Moody AFB