Organization
JAWAYNE'S TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWAYNE KELLY (OWNER)
(336) 517-6728
Entity
Organization
Contact information
Practice address
5215 CARRIAGE WOODS DR, BROWNS SUMMIT, NC 27214-9459
(336) 517-6728
Mailing address
5215 CARRIAGE WOODS DR, BROWNS SUMMIT, NC 27214-9459
(336) 517-6728
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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