Organization
PAVILION MED TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIBSON ERHUNMWUNSE DNP (CEO)
(703) 299-9898
Entity
Organization
Contact information
Practice address
4115 ANNANDALE RD STE 101, ANNANDALE, VA 22003-2500
(703) 712-7939
(703) 226-5604
Mailing address
4115 ANNANDALE RD STE 101, ANNANDALE, VA 22003-2500
(703) 712-7939
(703) 226-5604
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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