Individual provider · Type 1 NPI
Demetric Antron Tuggle
Driver · Douglasville, GA
NPI number
1801540273
Active
Practice location
3480 Hearthstone Pl
Douglasville, GA 30135-7286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 040114469 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1801540273
Demetric Antron Tuggle's National Provider Identifier is 1801540273, issued on Feb 4, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Douglasville, GA. The record was last updated on Feb 4, 2022.