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Organization

S AND W DIVERSIFIED TRANS LLC

Active
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Organization

S AND W DIVERSIFIED TRANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILBERT TAFADZWA NYAMAYEDENGA (DIRECTOR)
(678) 308-0363
Entity
Organization

Contact information

Practice address
157 BURKE ST, STOCKBRIDGE, GA 30281-3433
(678) 993-7436
Mailing address
127 JACLAIRE LN, MCDONOUGH, GA 30252-3117
(678) 308-0363

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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