Medivan Transport, LLC

Organization Active NPI Non-emergency Medical Transport (VAN) · Lyons, GA

NPI 1972863181 · NPPES record last updated May 22, 2012

Key facts

NPI
1972863181
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Legal business name
MEDIVAN TRANSPORT, LLC
Practice address
234 N Victory Dr
Lyons, GA 30436-1036
Phone
(912) 526-0859
NPI assigned
May 22, 2012
Organization subpart
No

Authorized official

Name
Mrs. Paula D Copeland
Title
Manager
Phone
(912) 526-0859

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

234 N Victory Dr
Lyons, GA 30436-1036

Mailing address

PO Box 2
Uvalda, GA 30473-0002
Phone (912) 526-0859

Other providers in Lyons, GA

All providers in Lyons, GA · Non-emergency Medical Transport (VAN) in Georgia

Sources for this page

Verify at the official NPI Registry.