Organization
MID SOUTH EXPRESS SHUTTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW SHEARS JR. (OWNER / MANAGER)
(662) 420-8402
Entity
Organization
Contact information
Practice address
4185 SIDLEHILL DR, OLIVE BRANCH, MS 38654-6141
(662) 420-0826
(662) 892-8402
Mailing address
PO BOX 1988, OLIVE BRANCH, MS 38654-2104
(662) 420-0826
(662) 892-8402
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1026-4841
MS
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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