Stephanie Mehr, IDHS
Individual provider Active NPI Independent Duty Medical Technicians · Kings Bay, GA
NPI 1609588409 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1609588409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 6013 Uss Daniel Webster Road
Kings Bay, GA 31547 - Phone
- (912) 674-4310
- NPI assigned
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
6013 Uss Daniel Webster Road
Kings Bay, GA 31547
Mailing address
6013 Uss Daniel Webster Road
Kings Bay, GA 31547
Phone (912) 674-4310
Other providers in Kings Bay, GA
- Tony Wayne Lyle
- Jeffrey Scott Martin
- Julianne Rockett Maynard
- Odelia Nicole McFadden
- Sean Thomas Sengiawasa Meadors
- D'Metric Maudell Moss
- Leah Moss
- Kylie Napoli
- Jeffrey David Neal
- NH Jacksonville
All providers in Kings Bay, GA · Independent Duty Medical Technicians in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.