MEDICARE: RYLEIGH'S STARLIGHT TRANSPORT

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)

General Provider Information

NPI Number	:	1730025859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYLEIGH'S STARLIGHT TRANSPORT

Provider Business Mailing Address
First Line	:	1040 HUFF RD NW APT 3128
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-4274
Country	:	US
Telephone Number	:	470-306-7376
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 HUFF RD NW APT 3128
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-4274
Country	:	US
Telephone Number	:	470-306-7376
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMAN MILES
Credential	:
Telephone Number	:	470-306-7376

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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Directions to “RYLEIGH'S STARLIGHT TRANSPORT ” Practice Location

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