Organization
CJ MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LYNNE HACKWORTH (OFFICE ADMINISTRATOR)
(336) 656-9888
Entity
Organization
Contact information
Practice address
2311 W CONE BLVD, SUITE 150, GREENSBORO, NC 27408-4042
(336) 656-9888
(336) 419-0260
Mailing address
2311 W CONE BLVD, SUITE 150, GREENSBORO, NC 27408-4042
(336) 656-9888
(336) 419-0260
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40332856
—
NC
Enumeration date
08/05/2016
Last updated
08/05/2016
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