Organization
PAVE MEDICAL TRANSPORTATION LLC
Active
Other names
Pave Medical Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH T AHMED (OWNER)
(615) 900-0329
Entity
Organization
Contact information
Practice address
2929 OLD FRANKLIN RD # F502, ANTIOCH, TN 37013-3198
(678) 469-3254
Mailing address
2929 OLD FRANKLIN RD # F502, ANTIOCH, TN 37013-3198
(678) 469-3254
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045674
—
TN
Enumeration date
02/05/2019
Last updated
05/16/2022
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