Individual provider · Type 1 NPI
Charlotte C. Pace
Driver · Forest, MS
NPI number
1013675560
Active
Practice location
426 Graves Street
Forest, MS 39074-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 800515894 (MS) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1013675560
Charlotte C. Pace's National Provider Identifier is 1013675560, issued on Dec 1, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Forest, MS. The record was last updated on Dec 1, 2021.