Provider Demographics
NPI:1164057089
Name:PRIORITY TRANSPORTATION
Entity Type:Organization
Organization Name:PRIORITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADEKQUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELOACH-GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-888-1637
Mailing Address - Street 1:1124 PIERCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-1522
Mailing Address - Country:US
Mailing Address - Phone:423-888-1637
Mailing Address - Fax:
Practice Address - Street 1:1004 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-3330
Practice Address - Country:US
Practice Address - Phone:423-544-4885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle