Organization
CLEMONS TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY CLEMONS (OWNER)
(770) 873-6431
Entity
Organization
Contact information
Practice address
1845 CLEARLAKE TRCE, STONE MOUNTAIN, GA 30088-4005
(770) 873-6431
(770) 593-3743
Mailing address
1845 CLEARLAKE TRCE, STONE MOUNTAIN, GA 30088-4005
(770) 873-6431
(770) 593-3743
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00225751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00225751
BUSINESS AND OCCUPATIONAL TAX CERTIFICATE
GA
Enumeration date
02/27/2011
Last updated
02/27/2011
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