Organization
EXCEPTIONAL MEDICAL TRANSPORT TN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MYLES (OPERATIONAL MANAGER)
(901) 219-9596
Entity
Organization
Contact information
Practice address
2627 FRIDDELL CV, MEMPHIS, TN 38133-5157
(901) 219-9596
Mailing address
2627 FRIDDELL CV, MEMPHIS, TN 38133-5157
(901) 219-9596
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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