Individual
TAWANNA A ARCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S ELM ST STE 6, GREENSBORO, NC 27401-2792
(980) 208-0776
Mailing address
1400 RANDOLPH AVE, GREENSBORO, NC 27406-2331
(980) 208-0776
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
8713028
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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