Joseph Brown

Individual provider Active NPI Driver · Woodford, VA

NPI 1669998308 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1669998308
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
6313 Gatewood Rd
Woodford, VA 22580-2008
Phone
(804) 867-5307
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

6313 Gatewood Rd
Woodford, VA 22580-2008

Mailing address

6313 Gatewood Rd
Woodford, VA 22580-2008
Phone (804) 867-5307

Other providers in Woodford, VA

All providers in Woodford, VA · Driver in Virginia

Sources for this page

Verify at the official NPI Registry.