Healthcare Provider Details

I. General information

NPI: 1336672799
Provider Name (Legal Business Name): XTRANSIT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 WILLOW CREEK DR
ATLANTA GA
30328-3419
US

IV. Provider business mailing address

735 WILLOW CREEK DR
ATLANTA GA
30328-3419
US

V. Phone/Fax

Practice location:
  • Phone: 770-284-6714
  • Fax:
Mailing address:
  • Phone: 770-284-6714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. TINA WILKINSON
Title or Position: OWNER.CEO
Credential:
Phone: 202-525-8629