Vincent Stith is a Driver based in Scott, AR. Vincent Stith practices in Scott, AR. The NPI Number for Vincent Stith is 1417542416 and holds a License No. 934432767 (Arkansas).
The current practice location address for Vincent Stith is 13732 Smarty Jones Dr, Scott, AR and can be reached out via phone at 501-647-0522.
Location: 13732 Smarty Jones Dr, Scott, AR, 72142-9547
Provider Profile Details
NPI Number
1417542416
Provider Name
Vincent Stith
Credential
Provider Entity Type
Individual
Gender
Male
Address
13732 Smarty Jones Dr, Scott, AR, 72142-9547
Phone Number
501-647-0522
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 934432767 | 01 | AR | DRIVER |
Provider Business Practice Location Address Details
Address
13732 Smarty Jones Dr
City
State
Zip
72142-9547
Phone Number
501-647-0522
Fax Number
Provider Business Mailing Address Details
Address
13732 Smarty Jones Dr
City
State
Zip
72142-9547
Phone Number
501-647-0522
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
934432767 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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