Individual
THOMAS HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(850) 283-8900
Mailing address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(850) 283-8900
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
07/10/2023
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