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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 000038608717 (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.