Provider Demographics
NPI:1417661125
Name:TIA J JOYNER, LLC
Entity Type:Organization
Organization Name:TIA J JOYNER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIA
Authorized Official - Middle Name:JANAE
Authorized Official - Last Name:JOYNER SUMMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-917-9281
Mailing Address - Street 1:740 GREENVILLE BLVD SE STE 400-217
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5135
Mailing Address - Country:US
Mailing Address - Phone:252-917-9281
Mailing Address - Fax:
Practice Address - Street 1:4141 KITTRELL FARMS DR APT 204
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9238
Practice Address - Country:US
Practice Address - Phone:252-917-9281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)