Organization
TRANSPORTATION BY HENRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY JOSEPH JACKSON (OWNER)
(678) 215-3351
Entity
Organization
Contact information
Practice address
500 LAFAYETTE ST, DALLAS, GA 30157-8017
(678) 215-3511
Mailing address
500 LAFAYETTE ST, DALLAS, GA 30157-8017
(678) 215-3511
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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