Organization
PCS MIDSOUTH TRANSPORT LLC
Active
Other names
Walter Black
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER BLACK (MANAGING PRINCIPAL)
(901) 313-9238
Entity
Organization
Contact information
Practice address
1723 HIGHWAY 51 S STE E, COVINGTON, TN 38019
(901) 313-9238
(901) 313-9236
Mailing address
1723 HIGHWAY 51 S STE E, COVINGTON, TN 38019-3628
(901) 313-9238
(901) 313-9236
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/30/2020
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