Individual provider · Type 1 NPI
Roger Shawn Heatley
Driver · Bamberg, SC
NPI number
1013787217
Active
Practice location
230 Gene St
Bamberg, SC 29003-8245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 007056 (SC) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1013787217
Roger Shawn Heatley's National Provider Identifier is 1013787217, issued on Jan 8, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bamberg, SC. The record was last updated on Jan 8, 2024.