TRYSTAN JAMES SELF IDMT
NPI 1750979852
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA
About Trystan James Self Idmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRYSTAN JAMES SELF IDMT (NPI 1750979852) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since January 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOODY AFB, GA 31699
MOODY AFB, GA 31699
MOODY AFB, GA 31699
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Trystan Self's NPI number?
The NPI number for Trystan Self is 1750979852. It was assigned to this individual provider in the NPPES registry on January 5, 2021.
Where is Trystan Self located?
Trystan Self practices at 3280 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.
What is Trystan Self's specialty?
The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.
When was this NPI record last updated?
The NPPES record for Trystan Self was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.