Healthcare Provider Details

I. General information

NPI: 1710737184
Provider Name (Legal Business Name): GOLSON'S TRANSPORTATION INCORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 COPPERFIELD BLVD NE
CONCORD NC
28025-2433
US

IV. Provider business mailing address

924 COPPERFIELD BLVD NE
CONCORD NC
28025-2433
US

V. Phone/Fax

Practice location:
  • Phone: 980-701-9900
  • Fax: 704-788-1114
Mailing address:
  • Phone: 980-701-9900
  • Fax: 704-788-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: KAYLA JANEA WHITLEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 980-701-9900