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Organization

WELLNESS SHUTTLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KANYANAN JACKSON (OWNER)
(478) 491-1819
Entity
Organization

Contact information

Practice address
75 S ANDERSON DR, SANDERSVILLE, GA 31082-4703
(478) 491-1819
Mailing address
75 S ANDERSON DR, SANDERSVILLE, GA 31082-4703
(478) 491-1819

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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