Individual
MR. JOSEPH JOHN MIEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3287 MITCHELL BLVD, MOODY AFB, GA 31699-1502
(229) 257-2778
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386252872
—
FL
Enumeration date
07/21/2020
Last updated
03/09/2026
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