MEDICARE: ADR TRANSPORTING COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle	099785225	TN

General Provider Information

NPI Number	:	1275989857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADR TRANSPORTING COMPANY

Provider Business Mailing Address
First Line	:	3837 NORTH TER APT B
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411-5139
Country	:	US
Telephone Number	:	423-847-2588
Fax Number	:	423-847-2588

Provider Business Practice Location Address
First Line	:	3837 NORTH TER APT B
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411-5139
Country	:	US
Telephone Number	:	423-847-2588
Fax Number	:	423-847-2588

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AUBREY D RUCKER
Credential	:
Telephone Number	:	423-313-8660

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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Directions to “ADR TRANSPORTING COMPANY ” Practice Location

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