Individual provider · Type 1 NPI
Terrence Deshon Fisher
Driver · Cordova, TN
NPI number
1083977979
Active
Practice location
1657 Belledeer Dr E
Cordova, TN 38016-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 110006378 (TN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1083977979
Terrence Deshon Fisher's National Provider Identifier is 1083977979, issued on Jun 17, 2012. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Cordova, TN. The record was last updated on Jun 17, 2012.