# CREEKSIDE TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043893282
- **Authorized official:** SHOLITHA NUNNERY OWNER (OWNER)
- **Authorized official phone:** (985) 602-6672

## Contact information

- **Practice address:** 625 TUPELO DR, PONCHATOULA, LA 70454-3940
- **Practice address phone:** (504) 402-1518
- **Mailing address:** 625 TUPELO DR, PONCHATOULA, LA 70454-3940
- **Mailing address phone:** (504) 402-1518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/05/2021