Organization
G-VEGAS TRANSPORATION LLC
Active
Other names
G-Vegas Transporation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DEMETRIUS SHARP (OWNER)
(252) 412-0008
Entity
Organization
Contact information
Practice address
315 EVANS ST, GREENVILLE, NC 27858-1832
(252) 412-0008
Mailing address
315 EVANS ST, GREENVILLE, NC 27858-1832
(252) 412-0008
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
NC
Enumeration date
02/18/2020
Last updated
02/18/2020
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