institution
Timothy Street
Driver in Elizabethton, Tennessee
NPI 1760602338

Timothy Street is a Driver based in Elizabethton, TN. Timothy Street practices in Elizabethton, TN. The NPI Number for Timothy Street is 1760602338 and holds a License No. 052488290 (Tennessee).

The current practice location address for Timothy Street is 204 Old Siam Rd, Elizabethton, TN and can be reached out via phone at 423-895-0425 and via fax at 423-543-7707.

Location: 204 Old Siam Rd, Elizabethton, TN, 37643
institution
Provider Profile Details
NPI Number
1760602338
Provider Name
Timothy Street
Credential
Provider Entity Type
Organization
Address
204 Old Siam Rd, Elizabethton, TN, 37643
Phone Number
423-895-0425
Fax Number
423-543-7707
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T000186 05 TN
institution
Provider Business Practice Location Address Details
Address
204 Old Siam Rd
City
State
Zip
37643
Phone Number
423-895-0425
Fax Number
423-543-7707
person
Provider Business Mailing Address Details
Address
204 Old Siam Rd
City
State
Zip
37643
Phone Number
423-895-0425
Fax Number
423-543-7707
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
052488290 (Tennessee)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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