RAQUEL SOLIVAN WILSON, IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual

NPI: 1528379732

Practice Address

23 MEDICAL GROUP/SGPF 3278 MITCHELL BLVD BLD 900
Moody Afb, GA 31699

Specialties

Specialty	Code	Primary	License
Military Health Care Provider - Independent Duty Medical Technicians	1710I1003X	Yes	-

Frequently Asked Questions

NPI 1528379732 is the National Provider Identifier for RAQUEL SOLIVAN WILSON, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Moody Afb, GA. This NPI was enumerated on June 23, 2010.

RAQUEL SOLIVAN WILSON, IDMT practices at 23 MEDICAL GROUP/SGPF 3278 MITCHELL BLVD BLD 900, Moody Afb, GA 31699.

Quick Facts

NPI: 1528379732
Type: Individual
Enumerated: Jun 23, 2010
Last Updated: Nov 8, 2023

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