DRIVE RIGHT LLC NPI 1962131979

NPI Information

DRIVE RIGHT, LLC is an adult medicine family medicine in Southaven, MS. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DRIVE RIGHT, LLC NPI is 1962131979. The provider is registered as an organization entity type.
The provider Is Doing Business As Drive Right.

The provider's business location address is:

201 STATELINE RD W STE 5A
SOUTHAVEN, MS
ZIP 38671-600
Phone: (662) 253-8959
Fax: (662) 470-6918

The provider's authorized official is Bonnie Ellzey .
The authorized official title is Np and has the following contact phone number (662) 253-8959.

The CLIA number assigned to this NPI record is 25D2261178 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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