Healthcare Provider Details
I. General information
NPI: 1225862196
Provider Name (Legal Business Name): JMA COURIER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2024
Last Update Date: 08/31/2024
Certification Date: 08/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1441 WOODMONT LN NW STE 764
ATLANTA GA
30318-2866
US
IV. Provider business mailing address
1441 WOODMONT LN NW STE 764
ATLANTA GA
30318-2866
US
V. Phone/Fax
- Phone: 678-827-4248
- Fax:
- Phone: 678-827-4248
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICE
ANDERSON
Title or Position: PRESIDENT
Credential:
Phone: 678-827-4248