PROVIDENCE

Driver · FOXWORTH, MS

Organization Active NPI 1821567991

Taxonomy & licensure

Specialty	Code	Primary	License	State
Driver	172A00000X	✓	800427553	MS
Non-emergency Medical Transport (VAN)	343900000X		8000427553	MS
Private Vehicle	347C00000X		098765	MS

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.