Organization
HUMPHRIES TRANSPORTATION COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WAYNE HUMPHRIES SR. (PRESIDENT)
(678) 314-4045
Entity
Organization
Contact information
Practice address
3244 CHESTNUT OAKS DR, MARIETTA, GA 30062-6614
(678) 314-4045
Mailing address
PO BOX 671363, MARIETTA, GA 30066-0140
(678) 314-4045
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2010#137102
GA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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