Grace Walkers Center Transportation

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

GRACE WALKERS CENTER TRANSPORTATION

Practice address

3683 Willow Tree Cir
Douglasville, GA 30135-7302

Phone

(678) 789-2006

NPI assigned

May 31, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tonya Michelle Cook

Title

Owner

Phone

(678) 789-2006

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336677616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 WILLOW TREE CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357302",
            "telephone_number": "678-789-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 WILLOW TREE CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357302",
            "telephone_number": "678-789-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WALKERS CENTER TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-789-2006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Broker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Transportation Broker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.