Provider Demographics
NPI:1821564402
Name:SUTTON, LINDA BREWINGTON
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:BREWINGTON
Last Name:SUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:JIMMY
Other - Middle Name:LAWRENCE
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:L&M'STRANSPORTATION
Mailing Address - Street 1:603 E RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-3221
Mailing Address - Country:US
Mailing Address - Phone:919-799-6254
Mailing Address - Fax:
Practice Address - Street 1:603 E RALEIGH ST
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-3221
Practice Address - Country:US
Practice Address - Phone:919-799-6254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver