Healthcare Provider Details

I. General information

NPI: 1346163094
Provider Name (Legal Business Name): MIZZELLE TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 BARRINGTON ROW AVE
ZEBULON NC
27597-3708
US

IV. Provider business mailing address

406 BARRINGTON ROW AVE
ZEBULON NC
27597-3708
US

V. Phone/Fax

Practice location:
  • Phone: 919-696-3042
  • Fax:
Mailing address:
  • Phone: 919-696-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHANDA MIZZELLE
Title or Position: OWNER/OPERATOR
Credential: MIZZELLE
Phone: 919-696-3042