person
Wesley Eddins, OWNER
NPI 1730739848

Wesley Eddins is a Driver based in Virginia Beach, VA. Wesley Eddins practices in Virginia Beach, VA and has the professional credentials of OWNER. The NPI Number for Wesley Eddins is 1730739848 and holds a License No. 83751657 (Virginia).

The current practice location address for Wesley Eddins is 1308 Gravenhurst Cir, Virginia Beach, VA and can be reached out via phone at 423-930-3978 and via fax at 757-965-9777.

Location: 1308 Gravenhurst Cir, Virginia Beach, VA, 23464-8660
person
Provider Profile Details
NPI Number
1730739848
Provider Name
Wesley Eddins
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
1308 Gravenhurst Cir, Virginia Beach, VA, 23464-8660
Phone Number
423-930-3978
Fax Number
757-965-9777
Provider Enumeration Date
09/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5150 01 AMBULATORY
institution
Provider Business Practice Location Address Details
Address
1308 Gravenhurst Cir
City
State
Zip
23464-8660
Phone Number
423-930-3978
Fax Number
757-965-9777
person
Provider Business Mailing Address Details
Address
1308 Gravenhurst Cir
City
State
Zip
23464-8660
Phone Number
423-930-3978
Fax Number
757-965-9777
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
83751657 (Tennessee)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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