Organization
WATSON TRANSPORTATION COM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LATRINA WATSON (OWNER)
(662) 820-5708
Entity
Organization
Contact information
Practice address
630 NORRIS ST, GREENVILLE, MS 38703-6042
(662) 820-5708
Mailing address
PO BOX 4463, GREENVILLE, MS 38704-4463
(662) 820-5708
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234
—
GA
Enumeration date
05/06/2020
Last updated
05/06/2020
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