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Edward N Gatlin, ETC
Driver in Foxworth, Mississippi
NPI 1437620085

Edward N Gatlin is a Driver based in Foxworth, MS. Edward N Gatlin practices in Foxworth, MS and has the professional credentials of ETC. The NPI Number for Edward N Gatlin is 1437620085 and holds a License No. 801615243 (Mississippi).

The current practice location address for Edward N Gatlin is 20 Otis Ln, Foxworth, MS and can be reached out via phone at 601-467-0848.

Location: 20 Otis Ln, Foxworth, MS, 39483-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437620085
Provider Name
Edward N Gatlin
Credential
ETC
Provider Entity Type
Individual
Gender
Male
Address
20 Otis Ln, Foxworth, MS, 39483-3102
Phone Number
601-467-0848
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
801615243 01 MS DRIVER LICENSE
832-374-5638 01 MS TAX EIN NUMBER
institution
Provider Business Practice Location Address Details
Address
20 Otis Ln
City
Foxworth
State
Mississippi
Zip
39483-3102
Phone Number
601-467-0848
Fax Number
person
Provider Business Mailing Address Details
Address
20 Otis Ln
City
Foxworth
State
Mississippi
Zip
39483-3102
Phone Number
601-467-0848
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
801615243 (Mississippi)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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