NPI 1063395218

Qwezione Tyree Bethea

Practitioner Driver Pine Hill, NJ

Practice location

Address: 4 Cross Rd, Pine Hill, NJ 08021-6804
Phone: (332) 280-8569
Mailing address: 1000 Spring St NW, Atlanta, GA 30309-4941

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 071157477 (GA)

Other Driver providers in New Jersey →

Registry record

NPI: 1063395218
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2025
Record last updated: 28 Jul 2025

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.