Healthcare Provider Details

I. General information

NPI: 1457552812
Provider Name (Legal Business Name): ARROW TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 OLD MCMINNVILLE STREET
SPENCER TN
38585
US

IV. Provider business mailing address

PO BOX 833
SPENCER TN
38585
US

V. Phone/Fax

Practice location:
  • Phone: 931-946-2564
  • Fax: 931-946-2564
Mailing address:
  • Phone: 931-946-2564
  • Fax: 931-946-2564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. VERNA LEE BASTIN
Title or Position: OWNER
Credential:
Phone: 931-946-2564