Organization
FIVE STAR TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK V BRYANT (OWNER)
(601) 906-3557
Entity
Organization
Contact information
Practice address
466 SHADOWOOD DR, RIDGELAND, MS 39157-4177
(601) 906-3557
Mailing address
466 SHADOWOOD DR, RIDGELAND, MS 39157-4177
(601) 906-3557
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800530297
NONE EMERGENCY MEDICAL TRANSPORTATION
MS
Enumeration date
01/18/2019
Last updated
01/27/2019
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