Individual provider · Type 1 NPI

Edward N. Gatlin, ETC

Driver · Foxworth, MS

NPI number 1437620085 Active

Practice location

20 Otis Ln
Foxworth, MS 39483-3102

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X801615243 (MS)

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

Another provider at this address

About NPI 1437620085

Edward N. Gatlin, ETC's National Provider Identifier is 1437620085, issued on Dec 7, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Foxworth, MS. The record was last updated on Dec 7, 2018.