Trystan James Self, IDMT
Trystan James Self, IDMT is an Independent Duty Medical Technicians in Moody AFB, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3280 Mitchell BlvdMoody AFB, GA 31699-1541
Phone: (229) 257-2778
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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 number | 1750979852 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | No |
| NPI enumerated | January 5, 2021 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
| Mailing address | 3280 Mitchell Blvd, Moody Afb, GA 31699-1500 |
Other providers in Moody AFB
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Cory Newby, IDMT
3280 Mitchell Blvd, Moody AFB, GA 31699-9907 · (210) 292-7400
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Raleigh G. O'Leary, IDMT
3278 Mitchell Blvd Bldg 900, Moody AFB, GA 31699-1500 · (229) 257-1347
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Jaheem R Prioleau
3280 Mitchell Blvd, Moody AFB, GA 31699-1500 · (292) 257-2778
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Byron Reed, IDMT
3278 Mitchell Blvd, Moody AFB, GA 31699-1500 · (229) 257-3165
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Glen Snyder, IDMT
3278 Mitchell Blvd, Moody AFB, GA 31699-1500 · (256) 553-9949
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Raquel Shelly Solivan Wilson, IDMT
23 Medical Group/sgpf 3278 Mitchell Blvd Bld 900, Moody AFB, GA 31699-8273 · (229) 257-4685
-
Jancarlo Javier Torres-Martinez, IDMT, NRP, FP-C
3278 Mitchell Blvd, Moody AFB, GA 31699-1500 · (229) 257-2778
-
Jeffrey Alan Utz
3278 Mitchell Blvd, Moody AFB, GA 31699-1500 · (229) 257-6144