Organization
FOUNTAIN TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY WALSTON MCNEIL (EXECUTIVE OFFICER/OWNER)
(252) 903-7523
Entity
Organization
Contact information
Practice address
350 WILLIAM WALSTON LANE, TARBORO, NC 27886
(252) 903-7523
(252) 641-6412
Mailing address
350 WILLIAM WALSTON LANE, TARBORO, NC 27886
(252) 903-7523
(252) 641-6412
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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