Provider Demographics
NPI:1518588250
Name:B AND D MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:B AND D MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-932-6157
Mailing Address - Street 1:8687 HOSPITAL DR STE 104
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5615
Mailing Address - Country:US
Mailing Address - Phone:678-932-6157
Mailing Address - Fax:
Practice Address - Street 1:8687 HOSPITAL DR STE 104
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5615
Practice Address - Country:US
Practice Address - Phone:678-932-6157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport