Healthcare Provider Details

I. General information

NPI: 1144843830
Provider Name (Legal Business Name): Q&C TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 DEXTER ST STE B
GREENVILLE NC
27834-6320
US

IV. Provider business mailing address

504 DEXTER ST STE B
GREENVILLE NC
27834-6320
US

V. Phone/Fax

Practice location:
  • Phone: 252-296-1344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: QUEENA HODGES
Title or Position: CO-OWNER
Credential:
Phone: 252-296-1344