Organization
C G TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R ISREAL-PEACE OWNER (OWNER)
(919) 514-0024
Entity
Organization
Contact information
Practice address
135 AMBERGATE DR, YOUNGSVILLE, NC 27596-7448
(919) 703-8841
(919) 435-1253
Mailing address
PO BOX 221, KITTRELL, NC 27544-0221
(919) 703-8841
(919) 435-1253
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40339586
—
NC
Enumeration date
10/02/2019
Last updated
10/02/2019
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