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Tim Gravgaard
Driver in Elizabeth City, North Carolina
NPI 1891472650

Tim Gravgaard is a Driver based in Elizabeth City, NC. Tim Gravgaard practices in Elizabeth City, NC. The NPI Number for Tim Gravgaard is 1891472650 and holds a License No. 20899329 (North Carolina).

The current practice location address for Tim Gravgaard is 117 Matthews Dr, Elizabeth City, NC and can be reached out via phone at 757-618-9866.

Location: 117 Matthews Dr, Elizabeth City, NC, 27909-7739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891472650
Provider Name
Tim Gravgaard
Credential
Provider Entity Type
Individual
Gender
Male
Address
117 Matthews Dr, Elizabeth City, NC, 27909-7739
Phone Number
757-618-9866
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 Matthews Dr
City
Elizabeth City
State
North Carolina
Zip
27909-7739
Phone Number
757-618-9866
Fax Number
person
Provider Business Mailing Address Details
Address
117 Matthews Dr
City
Elizabeth City
State
North Carolina
Zip
27909-7739
Phone Number
757-618-9866
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
20899329 (North Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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