NPI 1275242562

Israel Fornville

Practitioner Driver Greenville, NC

Practice location

Address: 105 Kimberley Dr, Greenville, NC 27858-6722
Phone: (252) 757-1758
Fax: (252) 830-0077

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 7937489 (NC)

Other Driver providers in North Carolina →

Registry record

NPI: 1275242562
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2022
Record last updated: 16 Nov 2022

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.