Individual provider · Type 1 NPI
Gus Antoine Sr.
Driver · Clarksville, TN
NPI number
1376296582
Active
Practice location
2033 Ft Campbell Blvd, Suite A Pmb 1089
Clarksville, TN 37042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 7094741 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Clarksville
- Keith Orlando WestbrooksDriver Clarksville, TN NPI 1144143116
- Marcus Andrew Jackson Sr.Driver Clarksville, TN NPI 1295553899
- Benjamin CriderDriver Clarksville, TN NPI 1477366540
- Jessica Mechell McDougalDriver Clarksville, TN NPI 1518736479
- Eddie Lorenzo Brown Sr., DRIVERDriver Clarksville, TN NPI 1649604943
- Isaac J. Reed Sr.Driver Clarksville, TN NPI 1841176971
About NPI 1376296582
Gus Antoine Sr.'s National Provider Identifier is 1376296582, issued on Jan 28, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Clarksville, TN. The record was last updated on Jan 28, 2022.