Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAQUEL SHELLY SOLIVAN WILSON, IDMT
ActiveRAQUEL SHELLY SOLIVAN WILSON, IDMT is a Independent Duty Medical Technician healthcare provider located in MOODY AFB, Georgia. NPI 1528379732 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · MOODY AFB, GA
Registration Details
- NPI Number
- 1528379732
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2010 (15.953449163666 yrs)
- Last Updated
- Nov 8, 2023
Practice Information
- Address
-
23 MEDICAL GROUP/SGPF 3278 MITCHELL BLVD BLD 900MOODY AFB, GA, 316998273Browse GA providers · Browse ZIP 31699
- Phone
- 2292574685
- Fax
- 2292573242
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in MOODY AFB, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES MICHAEL WHITE | IDMT | 1063646230 |
| CHUN CHUNG FONG | IDMT | 1881905073 |
| JAMES SKY HOWELL | IDMT-P | 1558673996 |
| MRS. LEIGH ANN JONES | IDMT | 1194069443 |
| FRANK PAUL YUVAN III | IDMT | 1508240284 |
| CORY NEWBY | IDMT | 1821450123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.