Organization
MEDIC TRANSPORTATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY G WYNN (PRESIDENT / CEO)
(901) 550-1940
Entity
Organization
Contact information
Practice address
3180 MILLINGTON RD., MEMPHIS, TN 38127
(901) 362-4171
(901) 362-4172
Mailing address
3180 MILLINGTON RD., MEMPHIS, TN 38127
(901) 362-4171
(901) 362-4172
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T000215
—
TN
Enumeration date
11/30/2006
Last updated
12/12/2022
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