Organization
TN MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY ANDRE NEWSOME (CEO)
(901) 562-6232
Entity
Organization
Contact information
Practice address
500 LORAINE RD, MEMPHIS, TN 38109-6853
(901) 562-6232
Mailing address
500 LORAINE RD, MEMPHIS, TN 38109-6853
(901) 562-6232
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
064091760
TN
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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