Individual provider · Type 1 NPI

Tim Gravgaard

Driver · Elizabeth City, NC

NPI number 1891472650 Active

Practice location

117 Matthews Dr
Elizabeth City, NC 27909-7739

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X20899329 (NC)

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

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About NPI 1891472650

Tim Gravgaard's National Provider Identifier is 1891472650, issued on Jul 3, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Elizabeth City, NC. The record was last updated on Jul 3, 2023.