Organization
TRANSPORTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN VERNARD EDWARDS JR. (OWNER)
(804) 363-7706
Entity
Organization
Contact information
Practice address
1500 RIVER TREE DR APT 102, CHESTER, VA 23836-6139
(804) 363-7706
Mailing address
1500 RIVER TREE DR APT 102, CHESTER, VA 23836-6139
(804) 363-7706
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N12-643
VA
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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