Healthcare Provider Details

I. General information

NPI: 1013205293
Provider Name (Legal Business Name): METROPOLITAN TRANSPORT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 AUBURN AVE NE 248
ATLANTA GA
30312-5412
US

IV. Provider business mailing address

659 AUBURN AVE NE 248
ATLANTA GA
30312-5412
US

V. Phone/Fax

Practice location:
  • Phone: 404-721-8358
  • Fax:
Mailing address:
  • Phone: 404-721-8358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number054299793
License Number StateGA

VIII. Authorized Official

Name: VINCENT WILLIAMS
Title or Position: CEO
Credential:
Phone: 404-721-8358