IndividualActive
Demetrus Coonrod
NPI 1699465344 · Driver · Chattanooga, TN
Provider details
- NPI number
- 1699465344
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 76895155 (TN)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
1089 Bailey Ave Ste C3
Chattanooga, TN 37404-2802
Phone: (423) 314-9897
Approximate (ZIP-level) locationGet directions
Mailing address
1089 Bailey Ave Ste C3
Chattanooga, TN 37404-2802
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.