Individual provider · Type 1 NPI
Ronnie Lee Godbolt, IDMT
Independent Duty Medical Technicians · Charleston Afb, SC
Practice location
204 W Hill Blvd
Charleston Afb, SC 29404-4704
Fax (843) 963-6903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: 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 …
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About NPI 1104054659
Ronnie Lee Godbolt, IDMT's National Provider Identifier is 1104054659, issued on Jun 23, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Charleston Afb, SC. The record was last updated on Jun 23, 2009.