Healthcare Provider Details

I. General information

NPI: 1639773252
Provider Name (Legal Business Name): TT&M MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 N KING ST STE 5
HAMPTON VA
23669-2233
US

IV. Provider business mailing address

1285 N KING ST STE 5
HAMPTON VA
23669-2233
US

V. Phone/Fax

Practice location:
  • Phone: 757-964-9565
  • Fax: 757-964-9566
Mailing address:
  • Phone: 757-964-9565
  • Fax: 757-964-9566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS TENA L ARTISE
Title or Position: OWNER
Credential:
Phone: 757-228-8400