Provider Demographics
NPI:1376205500
Name:GOLDEN SUN NEMT
Entity Type:Organization
Organization Name:GOLDEN SUN NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WOOIYI
Authorized Official - Middle Name:TAN
Authorized Official - Last Name:YIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-612-1388
Mailing Address - Street 1:4485 PAPER MILL RD SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4740
Mailing Address - Country:US
Mailing Address - Phone:770-612-1388
Mailing Address - Fax:
Practice Address - Street 1:4485 PAPER MILL RD SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-4740
Practice Address - Country:US
Practice Address - Phone:770-612-1388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)