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Anthony W Brandenburg
Driver in Clinton, Tennessee
NPI 1013166206

Anthony W Brandenburg is a Driver based in Clinton, TN. Anthony W Brandenburg practices in Clinton, TN. The NPI Number for Anthony W Brandenburg is 1013166206 and holds a License No. 070404648 (Tennessee).

The current practice location address for Anthony W Brandenburg is 118 Ike Anderson Ln, Clinton, TN and can be reached out via phone at 865-463-7151 and via fax at 865-463-7151. You can also correspond with Anthony W Brandenburg through the mailing address at 118 IKE ANDERSON LN, CLINTON, TN - 37716-6575 (mailing address contact number: 865-463-7151).

Location: 118 Ike Anderson Ln, Clinton, TN, 37716-6575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013166206
Provider Name
Anthony W Brandenburg
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 Ike Anderson Ln, Clinton, TN, 37716-6575
Phone Number
865-463-7151
Fax Number
865-463-7151
Provider Enumeration Date
09/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 Ike Anderson Ln
City
Clinton
State
Tennessee
Zip
37716-6575
Phone Number
865-463-7151
Fax Number
865-463-7151
person
Provider Business Mailing Address Details
Address
118 Ike Anderson Ln
City
Clinton
State
Tennessee
Zip
37716-6575
Phone Number
865-463-7151
Fax Number
865-463-7151
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
070404648 (Tennessee)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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