Organization
PHOENIX CHARLES TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY ANN MARCHAND HAMPTON DO (EXECUTIVE ASSISTANT)
(804) 536-3229
Entity
Organization
Contact information
Practice address
544 HICKS DR, BRACEY, VA 23919-1623
(757) 870-9025
(804) 352-5649
Mailing address
544 HICKS DR, BRACEY, VA 23919-1623
(757) 870-9025
(804) 352-5649
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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