Organization
DELTA MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN R WILSON (AUTH OFFICIAL/PRESIDENT)
(901) 326-9102
Entity
Organization
Contact information
Practice address
2481 EAGLERIDGE LN W, CORDOVA, TN 38016-8456
(901) 326-9102
Mailing address
2481 EAGLERIDGE LN W, CORDOVA, TN 38016-8456
(901) 326-9102
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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