Provider Demographics
NPI:1003234519
Name:TGY TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:TGY TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-840-3877
Mailing Address - Street 1:1636 VILLAGE PLACE CIR NE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-7108
Mailing Address - Country:US
Mailing Address - Phone:404-849-3877
Mailing Address - Fax:404-591-5904
Practice Address - Street 1:1636 VILLAGE PLACE CIR NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-7108
Practice Address - Country:US
Practice Address - Phone:404-840-3877
Practice Address - Fax:404-591-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)