Organization
COUNTRY CAB & TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DANIEL (OWNER)
(706) 265-1641
Entity
Organization
Contact information
Practice address
2202 BURT CREEK RD, DAWSONVILLE, GA 30534-3127
(706) 265-1641
(706) 265-2353
Mailing address
2202 BURT CREEK RD, DAWSONVILLE, GA 30534-3127
(706) 265-1641
(706) 265-2353
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
LIC-10-08-5777
GA
344600000X
Taxi
Primary
LIC-10-08-5777
GA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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