Healthcare Provider Details

I. General information

NPI: 1083398960
Provider Name (Legal Business Name): RC'S LOGISTICS AND TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 PERIMETER CTR N STE 300
ATLANTA GA
30346-3401
US

IV. Provider business mailing address

PO BOX 76553
ATLANTA GA
30358-1553
US

V. Phone/Fax

Practice location:
  • Phone: 678-856-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SHAWNTE MAYS
Title or Position: CEO
Credential:
Phone: 678-561-7002