Mr. John Mark Frazier
Mr. John Mark Frazier is a Driver in East Ridge, Tennessee. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
185 Cecil LnEast Ridge, TN 37412-2211
Phone: (423) 618-1496
Fax: (423) 345-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1538707302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |