Individual provider · Type 1 NPI

Samantha Durham, IDMT

Independent Duty Medical Technicians · Moody Afb, GA

NPI number 1861375768 Active

Practice location

3278 Mitchell Blvd
Moody Afb, GA 31699-1500

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone 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 1861375768

Samantha Durham, IDMT's National Provider Identifier is 1861375768, issued on Jul 28, 2025. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Moody Afb, GA. The record was last updated on Dec 16, 2025.