Provider Demographics
NPI:1477175495
Name:CPT SERVICES LLC
Entity Type:Organization
Organization Name:CPT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERONDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-829-3670
Mailing Address - Street 1:5628 RICE CT
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-3879
Mailing Address - Country:US
Mailing Address - Phone:678-829-3670
Mailing Address - Fax:678-839-3670
Practice Address - Street 1:5628 RICE CT
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-3879
Practice Address - Country:US
Practice Address - Phone:678-829-3670
Practice Address - Fax:678-839-3670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)