Individual provider · Type 1 NPI
Billy Cothran Jr.
Driver · Jonesboro, LA
NPI number
1679043145
Active
Practice location
109 Avenue A
Jonesboro, LA 71251-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 8033956 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1679043145
Billy Cothran Jr.'s National Provider Identifier is 1679043145, issued on Nov 27, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jonesboro, LA. The record was last updated on Nov 27, 2018.