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

Individual provider Independent Duty Medical Technicians · NPI 1720337462

Scott B Wyatt, IDMT is an Independent Duty Medical Technicians in Shaw AFB, South Carolina. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

431 Meadowlark St
Shaw AFB, SC 29152-5019
Phone: (321) 961-1447
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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 number1720337462
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESJune 12, 2013
Mailing address431 Meadowlark St, Shaw Afb, SC 29152-5019

Other providers in Shaw AFB