MEDICARE: MAP TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)	131591	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336538941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAP TRANSPORTATION

Provider Business Mailing Address
First Line	:	1200 NEWNAN CROSSING BLVD E
Second Line	:	APT 1200
City	:	NEWNAN
State	:	GA
Zip	:	30265-2184
Country	:	US
Telephone Number	:	615-839-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 VETERANS PKWY
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2803
Country	:	US
Telephone Number	:	615-839-2227
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	MR. MICHAEL ADEGBOYEGA
Credential	:	M.D
Telephone Number	:	615-839-2227

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	01/20/2015

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Directions to “MAP TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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