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Organization

DT TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKISHA PERCY (OWNER)
(423) 718-5132
Entity
Organization

Contact information

Practice address
6925 GLEN ERROL WAY, CHATTANOOGA, TN 37412-4059
(423) 718-5132
Mailing address
6925 GLEN ERROL WAY, CHATTANOOGA, TN 37412-4059
(423) 718-5132

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
347E00000X
Transportation Broker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q051300
TN
Enumeration date
03/03/2021
Last updated
03/03/2021
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