Organization
TRIANGLE OFFENSE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC MAXWELL (OWNER)
(404) 884-0201
Entity
Organization
Contact information
Practice address
453 STRAWBERRY WALK, LOGANVILLE, GA 30052-7603
(140) 488-4020
Mailing address
453 STRAWBERRY WALK, LOGANVILLE, GA 30052-7603
(140) 488-4020
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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