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Roger Wayne Reynolds SR., NEMTPROVIDER
Driver in Abingdon, Virginia
NPI 1225659709

Roger Wayne Reynolds SR. is a Driver based in Abingdon, VA. Roger Wayne Reynolds SR. practices in Abingdon, VA and has the professional credentials of NEMTPROVIDER. The NPI Number for Roger Wayne Reynolds SR. is 1225659709 and holds a License No. T62326452 (Virginia).

The current practice location address for Roger Wayne Reynolds SR. is 14531 Douglas Ln, Abingdon, VA and can be reached out via phone at 276-477-0997.

Location: 14531 Douglas Ln, Abingdon, VA, 24210-4827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225659709
Provider Name
Roger Wayne Reynolds SR.
Credential
NEMTPROVIDER
Provider Entity Type
Individual
Gender
Male
Address
14531 Douglas Ln, Abingdon, VA, 24210-4827
Phone Number
276-477-0997
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T62326452 01 VA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
14531 Douglas Ln
City
Abingdon
State
Virginia
Zip
24210-4827
Phone Number
276-477-0997
Fax Number
person
Provider Business Mailing Address Details
Address
14531 Douglas Ln
City
Abingdon
State
Virginia
Zip
24210-4827
Phone Number
276-477-0997
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T62326452 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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