MEDICARE: WALTERS TRANSPORTATION SYSTEMS INC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1437911666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALTERS TRANSPORTATION SYSTEMS INC

Provider Business Mailing Address
First Line	:	3343 PEACHTREE RD NE STE 145-2823
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1085
Country	:	US
Telephone Number	:	404-991-5779
Fax Number	:	404-470-9442

Provider Business Practice Location Address
First Line	:	3343 PEACHTREE RD NE STE 145-2823
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1085
Country	:	US
Telephone Number	:	404-991-5779
Fax Number	:	404-470-9442

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CLIFF WALTERS
Credential	:
Telephone Number	:	404-991-5779

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/24/2024

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