E & a Guided Wings Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

E & A GUIDED WINGS TRANSPORTATION LLC

Practice address

109 Fresh Laurel LN
Locust Grove, GA 30248-3730

Phone

(470) 818-4005

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laniasha I Clark

Title

Owner

Phone

(470) 818-4005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1649916503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FRESH LAUREL LN",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483730",
            "telephone_number": "470-818-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FRESH LAUREL LN",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483730",
            "telephone_number": "470-818-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & A GUIDED WINGS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LANIASHA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-818-4005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.