Individual provider · Type 1 NPI
Qwezione Tyree Bethea
Driver · Pine Hill, NJ
NPI number
1063395218
Active
Practice location
4 Cross Rd
Pine Hill, NJ 08021-6804
Mailing address
1000 Spring St NW
Atlanta, GA 30309-4941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 071157477 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1063395218
Qwezione Tyree Bethea's National Provider Identifier is 1063395218, issued on Jul 28, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Pine Hill, NJ. The record was last updated on Jul 28, 2025.