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Cornell Pendletom
Driver in Spotsylvania, Virginia
NPI 1255856019

Cornell Pendletom is a Driver based in Spotsylvania, VA. Cornell Pendletom practices in Spotsylvania, VA. The NPI Number for Cornell Pendletom is 1255856019 and holds a License No. T63451175 (Virginia).

The current practice location address for Cornell Pendletom is 6455 Hickory Ridge Rd, Spotsylvania, VA and can be reached out via phone at 540-379-7204.

Location: 6455 Hickory Ridge Rd, Spotsylvania, VA, 22551-2456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255856019
Provider Name
Cornell Pendletom
Credential
Provider Entity Type
Individual
Gender
Male
Address
6455 Hickory Ridge Rd, Spotsylvania, VA, 22551-2456
Phone Number
540-379-7204
Fax Number
Provider Enumeration Date
08/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6455 Hickory Ridge Rd
City
Spotsylvania
State
Virginia
Zip
22551-2456
Phone Number
540-379-7204
Fax Number
person
Provider Business Mailing Address Details
Address
6455 Hickory Ridge Rd
City
Spotsylvania
State
Virginia
Zip
22551-2456
Phone Number
540-379-7204
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T63451175 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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