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NPI Code Detail

MEDICARE: SOUTHERN COAST TRANSIT LLC

MEDICARE: SOUTHERN COAST TRANSIT LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1861174732
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN COAST TRANSIT LLC
Provider Business Mailing Address
First Line : 11720 AMBER PARK DR STE 160
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-2271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11720 AMBER PARK DR STE 160
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-2271
Country : US
Telephone Number : 470-664-2700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JOHN EVERETTE
Credential :
Telephone Number : 912-322-4502
Provider Enumeration Date : 08/01/2023
Last Update Date : 03/06/2026

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Directions to “SOUTHERN COAST TRANSIT LLC ” Practice Location

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