Organization
COURTESY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE PAYNE SR. (CEO)
(901) 257-5139
Entity
Organization
Contact information
Practice address
3048 CYPRESS LAKE DR, MEMPHIS, TN 38119-8635
(901) 257-5139
Mailing address
3048 CYPRESS LAKE DR, MEMPHIS, TN 38119-8635
(901) 257-5139
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34390000X
—
TN
Enumeration date
09/06/2018
Last updated
09/06/2018
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