Individual provider · Type 1 NPI
Shuwanda Nicole Gatlin
Driver · Tylertown, MS
NPI number
1831802669
Active
Practice location
69 Ginntown Rd
Tylertown, MS 39667-5597
Mailing address
PO Box 511
Tylertown, MS 39667-0511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1831802669
Shuwanda Nicole Gatlin's National Provider Identifier is 1831802669, issued on Dec 26, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Tylertown, MS. The record was last updated on Dec 26, 2023.