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

TaxonomyCodeLicense
Driver Primary 172A00000X8033956 (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.