Provider Demographics
NPI:1083959936
Name:B&T EXPEDITE & DEL.SVC LLC
Entity Type:Organization
Organization Name:B&T EXPEDITE & DEL.SVC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:THAXTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:919-796-5475
Mailing Address - Street 1:1420 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2069
Mailing Address - Country:US
Mailing Address - Phone:919-805-3043
Mailing Address - Fax:
Practice Address - Street 1:1420 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-2069
Practice Address - Country:US
Practice Address - Phone:919-805-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172A00000X172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty