Organization
NA TRANSPORT SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIEKA TALLEY (CEO)
(678) 588-4380
Entity
Organization
Contact information
Practice address
111 BIENCOURT DR, GRIFFIN, GA 30223-8733
(678) 588-4380
Mailing address
111 BIENCOURT DR, GRIFFIN, GA 30223-8733
(678) 588-4380
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
055391639
GA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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