Provider Demographics
NPI:1528198058
Name:TENNESSEE CARRIERS, INC.
Entity Type:Organization
Organization Name:TENNESSEE CARRIERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:901-550-1940
Mailing Address - Street 1:3180 MILLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-6112
Mailing Address - Country:US
Mailing Address - Phone:901-246-2988
Mailing Address - Fax:901-795-7025
Practice Address - Street 1:3180 MILLINGTON RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-6112
Practice Address - Country:US
Practice Address - Phone:901-246-2988
Practice Address - Fax:901-795-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)