Healthcare Provider Details

I. General information

NPI: 1891404406
Provider Name (Legal Business Name): TOOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 UNIVERSITY AVE SW
ATLANTA GA
30310-3630
US

IV. Provider business mailing address

1148 COLEMAN ST SW
ATLANTA GA
30310-3555
US

V. Phone/Fax

Practice location:
  • Phone: 404-914-4230
  • Fax:
Mailing address:
  • Phone: 404-914-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. KENNISHA A MORRIS
Title or Position: CEO
Credential:
Phone: 404-914-4230