Organization
MEDTRANS OF TN , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVONERICA BROWN (PRESIDENT)
(901) 495-2323
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 1000, MEMPHIS, TN 38104-3513
(855) 633-8747
Mailing address
1331 UNION AVE STE 1000, MEMPHIS, TN 38104-3513
(901) 495-2323
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
MS
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
347E00000X
Transportation Broker
—
MS
347E00000X
Transportation Broker
—
TN
Other
Enumeration date
12/05/2017
Last updated
04/06/2021
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