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Mr. Burley Walter Ball JR.
Driver in Coeburn, Virginia
NPI 1285240523

Burley Walter Ball JR. is a Driver based in Coeburn, VA. Burley Walter Ball JR. practices in Coeburn, VA. The NPI Number for Burley Walter Ball JR. is 1285240523 and holds a License No. T64011149 (Virginia).

The current practice location address for Burley Walter Ball JR. is 4313 Buckingham Rd, Coeburn, VA and can be reached out via phone at 276-395-1323.

Location: 4313 Buckingham Rd, Coeburn, VA, 24230-0208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285240523
Provider Name
Burley Walter Ball JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4313 Buckingham Rd, Coeburn, VA, 24230-0208
Phone Number
276-395-1323
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T64011149 05 VA
institution
Provider Business Practice Location Address Details
Address
4313 Buckingham Rd
City
Coeburn
State
Virginia
Zip
24230
Phone Number
276-395-1323
Fax Number
person
Provider Business Mailing Address Details
Address
4313 Buckingham Rd
City
Coeburn
State
Virginia
Zip
24230
Phone Number
276-395-1323
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T64011149 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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