Healthcare Provider Details

I. General information

NPI: 1023823176
Provider Name (Legal Business Name): XCLUSIVE TRANSPORTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 REDWINE RD APT 8301
ATLANTA GA
30344-5892
US

IV. Provider business mailing address

3871 REDWINE RD APT 8301
ATLANTA GA
30344-5892
US

V. Phone/Fax

Practice location:
  • Phone: 404-499-4226
  • Fax:
Mailing address:
  • Phone: 404-499-4226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MARIAH RICHARDSON
Title or Position: OWNER
Credential:
Phone: 404-499-4226