IndividualActive
Eric Clark
NPI 1902652530 · Transportation Network Company · Brandon, MS
Provider details
- NPI number
- 1902652530
- Entity type
- Individual
- Primary specialty
- Transportation Network CompanyTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
Practice location
450 N Brandon Blvd
Brandon, MS 39042-8340
Phone: (601) 942-2115
Approximate (ZIP-level) locationGet directions
Mailing address
450 N Brandon Blvd
Brandon, MS 39042-8340
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.