NPI 1043887144

Ronald B Fairs

Practitioner Driver Nashville, TN

Practice location

Address: 4921 Boyd Dr, Nashville, TN 37218-1609
Phone: (615) 707-3543

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 66913872 (TN)

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Registry record

NPI: 1043887144
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2021
Record last updated: 7 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.