MEDICARE: TRANSPORT EXPEDITING SEVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus

General Provider Information

NPI Number	:	1003145210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPORT EXPEDITING SEVICE

Provider Business Mailing Address
First Line	:	3922 YORKTOWN RD
Second Line	:	PO BOX 19004
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-2228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3922 YORKTOWN RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-2228
Country	:	US
Telephone Number	:	423-499-5407
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TOMMIE JAMES OWTEN SR.
Credential	:	OWNER
Telephone Number	:	423-544-5643

Provider Enumeration Date	:	12/17/2009
Last Update Date	:	12/17/2009

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Directions to “TRANSPORT EXPEDITING SEVICE ” Practice Location

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