Organization
MID SOUTH EXPRESS SHUTTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW SHEARS JR. (OWNER / MANAGER)
(662) 420-0826
Entity
Organization
Contact information
Practice address
4185 SIDDE HILL DR, OLIVEBRANCH, MS 38654
(662) 420-0826
Mailing address
PO BOX 1988, OLIVE BRANCH, MS 38654-2104
(662) 420-0826
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1026-4841
MS
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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