Individual provider · Type 1 NPI

Tisha J. Wood

Driver · Roanoke Rapids, NC

NPI number 1083349534 Active

Practice location

61 Madison St
Roanoke Rapids, NC 27870-1854

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X000038608717 (NC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1083349534

Tisha J. Wood's National Provider Identifier is 1083349534, issued on Jul 19, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Roanoke Rapids, NC. The record was last updated on Jul 19, 2022.