Individual provider · Type 1 NPI

Georgica Rynesha Baskerville

Driver · Brodnax, VA

NPI number 1144744780 Active

Practice location

2683 Brodnax Rd
Brodnax, VA 23920-2821

Fax (434) 636-5831

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1144744780

Georgica Rynesha Baskerville's National Provider Identifier is 1144744780, issued on Jul 26, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Brodnax, VA. The record was last updated on Jul 21, 2022.