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Mr. John Mark Frazier
Driver in East Ridge, Tennessee
NPI 1538707302

John Mark Frazier is a Driver based in East Ridge, TN. John Mark Frazier practices in East Ridge, TN. The NPI Number for John Mark Frazier is 1538707302 and holds a License No. (Tennessee).

The current practice location address for John Mark Frazier is 185 Cecil Ln, East Ridge, TN and can be reached out via phone at 423-618-1496 and via fax at 423-345-8630.

Location: 185 Cecil Ln, East Ridge, TN, 37412-2211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538707302
Provider Name
John Mark Frazier
Credential
Provider Entity Type
Individual
Gender
Male
Address
185 Cecil Ln, East Ridge, TN, 37412-2211
Phone Number
423-618-1496
Fax Number
423-345-8630
Provider Enumeration Date
12/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
185 Cecil Ln
City
East Ridge
State
Tennessee
Zip
37412-2211
Phone Number
423-618-1496
Fax Number
423-345-8630
person
Provider Business Mailing Address Details
Address
185 Cecil Ln
City
East Ridge
State
Tennessee
Zip
37412-2211
Phone Number
423-618-1496
Fax Number
423-345-8630
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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