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Back-N-4th Transportation Service, LLC

NPI #1770262081 in Riverdale, Georgia

Provider Information

NPI Number
1770262081
Entity Type
Organization
Organization Name
Back-N-4th Transportation Service, LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jul 13, 2023
Last Updated
Jul 13, 2023

Practice Location

Address
9172 HOMEWOOD DR
City
Riverdale
State
Georgia
ZIP Code
30274-4524
Phone
(404) 552-4667

Authorized Official

Name
LATANYA JEANNETTE JACKSON
Title
OWNER/MANGER
Phone
(404) 552-4667

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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