Organization
D & W SUPREME TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WYNNE MASON JR. (OWNER)
(501) 908-2534
Entity
Organization
Contact information
Practice address
9291 MORNING PARK DR, CORDOVA, TN 38016-4780
(501) 908-2534
Mailing address
9291 MORNING PARK DR, CORDOVA, TN 38016-4780
(501) 908-2534
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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