MR. John Mark Frazier

NPI #1538707302 in East Ridge, Tennessee

Provider Information

NPI Number: 1538707302
Entity Type: Individual
Name: MR. John Mark Frazier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 12, 2019
Last Updated: Dec 12, 2019

Practice Location

Address: 185 CECIL LN
City: East Ridge
State: Tennessee
ZIP Code: 37412-2211
Phone: (423) 618-1496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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