Individual provider · Type 1 NPI
Tate D. Park
Driver · Graham, NC
NPI number
1417860164
Active
Practice location
1208 E Main St
Graham, NC 27253-8547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 000044383480 (NC) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Graham
About NPI 1417860164
Tate D. Park's National Provider Identifier is 1417860164, issued on Sep 24, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Graham, NC. The record was last updated on Sep 24, 2026.