Healthcare Provider Details

I. General information

NPI: 1669869335
Provider Name (Legal Business Name): INCAR TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 CLINTON HWY STE B
KNOXVILLE TN
37912-1115
US

IV. Provider business mailing address

6545 CLINTON HWY STE B
KNOXVILLE TN
37912-1115
US

V. Phone/Fax

Practice location:
  • Phone: 865-230-5491
  • Fax:
Mailing address:
  • Phone: 865-230-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number115499131
License Number StateTN

VIII. Authorized Official

Name: MR. WALLY CHAMI
Title or Position: PRESIDENT
Credential:
Phone: 865-230-5491