Organization
Q-MOTIVATION TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNATHAN MICHAEL CLARK M.S. (OWNER & OPERATOR)
(919) 320-7688
Entity
Organization
Contact information
Practice address
105 LOUISE PL, GARNER, NC 27529-8642
(919) 320-7688
(919) 887-2078
Mailing address
105 LOUISE PL, GARNER, NC 27529-8642
(919) 320-7688
(919) 887-2078
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
25169034
NC
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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