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Tisha J Wood
Driver in Roanoke Rapids, North Carolina
NPI 1083349534

Tisha J Wood is a Driver based in Roanoke Rapids, NC. Tisha J Wood practices in Roanoke Rapids, NC. The NPI Number for Tisha J Wood is 1083349534 and holds a License No. 000038608717 (North Carolina).

The current practice location address for Tisha J Wood is 61 Madison St, Roanoke Rapids, NC and can be reached out via phone at 125-232-6577.

Location: 61 Madison St, Roanoke Rapids, NC, 27870-1854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083349534
Provider Name
Tisha J Wood
Credential
Provider Entity Type
Individual
Gender
Female
Address
61 Madison St, Roanoke Rapids, NC, 27870-1854
Phone Number
125-232-6577
Fax Number
Provider Enumeration Date
07/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
61 Madison St
City
Roanoke Rapids
State
North Carolina
Zip
27870-1854
Phone Number
125-232-6577
Fax Number
person
Provider Business Mailing Address Details
Address
61 Madison St
City
Roanoke Rapids
State
North Carolina
Zip
27870-1854
Phone Number
125-232-6577
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
000038608717 (North Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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