Organization
ALLSTAR TRANSPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G GATWOOD (PRESIDENT)
(901) 509-1440
Entity
Organization
Contact information
Practice address
5703 ALEXANDRIA LN, SOUTHAVEN, MS 38671-8427
(901) 509-1440
Mailing address
5703 ALEXANDRIA LN, SOUTHAVEN, MS 38671-8427
(901) 509-1440
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
801503492
MS
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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