Organization
DAVCO MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONTESIA DAVIDSON (PRESIDENT)
(901) 690-8999
Entity
Organization
Contact information
Practice address
6952 STOUT RD, MEMPHIS, TN 38119-8525
(901) 690-8999
(901) 328-5677
Mailing address
PO BOX 382992, GERMANTOWN, TN 38183-2992
(901) 690-8999
(901) 328-5677
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
74097537
TN
347C00000X
Private Vehicle
Primary
74097537
TN
Other
Enumeration date
07/13/2009
Last updated
07/22/2009
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