Organization
SOUTHWEST TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC CEBON CLARK (MANAGER)
(404) 573-9344
Entity
Organization
Contact information
Practice address
1014 24TH ST, MCCOMB, MS 39648-5325
(404) 573-9344
Mailing address
506 SHARPSTONE BND, STOCKBRIDGE, GA 30281-9434
(404) 573-9344
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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