Organization
SHOUTHERN TRANSPORT, LLC
Active
Organization
SHOUTHERN TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLE P MAHAFFEY (OWNER)
(931) 389-6969
Entity
Organization
Contact information
Practice address
733 BELL BUCKLE RD, WARTRACE, TN 37183-0216
(931) 389-6969
(931) 389-9351
Mailing address
PO BOX 216, WARTRACE, TN 37183-0216
(931) 389-6969
(931) 389-9351
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0006480
TN
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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