Individual
JOHNNY A TROUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 E WILLOW CREEK LN # 4, MC RAE, GA 31055-5129
(248) 619-4831
Mailing address
136 E WILLOW CREEK LN # 4, MC RAE, GA 31055-5129
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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