Individual
MR. OBIE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEST CONTROL
Contact information
Practice address
3575 HIGHWAY 138, TOONE, TN 38381-8077
(731) 402-1078
(731) 658-4134
Mailing address
3575 HIGHWAY 138, TOONE, TN 38381-8077
(731) 402-1078
(731) 658-4134
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
70304
TN
171W00000X
Contractor
—
TN
171W00000X
Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A55121
—
TN
Enumeration date
09/21/2012
Last updated
09/21/2012
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