Organization
YOUR GOLDEN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BAGWELL (OWNER)
(662) 489-6294
Entity
Organization
Contact information
Practice address
289 HIGHWAY 15 S, PONTOTOC, MS 38863-3527
(662) 489-6294
(662) 489-1145
Mailing address
289 HIGHWAY 15 S, PONTOTOC, MS 38863-3527
(662) 489-6294
(662) 489-1145
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MS
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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