Organization
FCP TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK CLINTOPN PRUITT (OWNER)
(770) 668-3915
Entity
Organization
Contact information
Practice address
4574 CREEK FOREST CT, LILBURN, GA 30047-8937
(770) 668-3915
Mailing address
4574 CREEK FOREST CT, LILBURN, GA 30047-8937
(770) 668-3915
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
058706073
GA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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