Organization
GHOST TRANSPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COTTRELL DERRICK (OWNER)
(703) 350-0796
Entity
Organization
Contact information
Practice address
1221 COASTAL AVE, STAFFORD, VA 22554-2590
(703) 350-0796
Mailing address
1221 COASTAL AVE, STAFFORD, VA 22554-2590
(703) 350-0796
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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