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Jeanette Smith Martin
Driver in Sunflower, Mississippi
NPI 1053894998

Jeanette Smith Martin is a Driver based in Sunflower, MS. Jeanette Smith Martin practices in Sunflower, MS. The NPI Number for Jeanette Smith Martin is 1053894998 and holds a License No. 801491923 (Mississippi).

The current practice location address for Jeanette Smith Martin is 100 Bush Holeman Rd, Sunflower, MS and can be reached out via phone at 662-347-6584.

Location: 100 Bush Holeman Rd, Sunflower, MS, 38778-9789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053894998
Provider Name
Jeanette Smith Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Bush Holeman Rd, Sunflower, MS, 38778-9789
Phone Number
662-347-6584
Fax Number
Provider Enumeration Date
09/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Bush Holeman Rd
City
Sunflower
State
Mississippi
Zip
38778-9789
Phone Number
662-347-6584
Fax Number
person
Provider Business Mailing Address Details
Address
100 Bush Holeman Rd
City
Sunflower
State
Mississippi
Zip
38778-9789
Phone Number
662-347-6584
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
801491923 (Mississippi)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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