EDUARDO F CLEMENTE IDMT
NPI 1154556041
Military Health Care Provider - Independent Duty Medical Technicians in Moody A F B, GA

Active since May 20, 2009
3278 MITCHELL BLVD, MOODY A F B, GA 31699(229) 257-5188 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About EDUARDO CLEMENTE

This page provides the complete NPI Profile along with additional information for Eduardo Clemente, a provider established in Moody A F B, Georgia with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1154556041 assigned on May 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1154556041 Verify this NPI
Provider Name
EDUARDO F CLEMENTE IDMT
Gender
Male
Entity Type
Individual
Location Address
3278 MITCHELL BLVD MOODY A F B, GA 31699
Location Phone
(229) 257-5188
Mailing Address
3807 SEDGEFIELD DR VALDOSTA, GA 31605
Is Sole Proprietor?
No
Enumeration Date
05-20-2009
Last Update Date
12-07-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Emergency Medical Technician, Intermediate
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Pharmacist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military/U.S. Coast Guard Pharmacy
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant (Medical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Psychiatry & Neurology (Psychiatry)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3278 MITCHELL BLVD, 23D MEDICAL GROUP
MOODY AFB, GA 31699
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154556041, enumerated as an "individual" on May 20, 2009.

The provider is located at 3278 MITCHELL BLVD MOODY A F B, GA 31699 and the phone number is (229) 257-5188.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.