Provider Demographics
NPI:1558532291
Name:JOHNSON&JOHNSON TRANSPORTATION OF GEORGIA LLC
Entity Type:Organization
Organization Name:JOHNSON&JOHNSON TRANSPORTATION OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDWINIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PADEN-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:ACTING AGENT
Authorized Official - Phone:770-425-2597
Mailing Address - Street 1:2660 DEERFIELD CIR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4239
Mailing Address - Country:US
Mailing Address - Phone:770-425-2597
Mailing Address - Fax:770-425-7714
Practice Address - Street 1:2660 DEERFIELD CIR SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4239
Practice Address - Country:US
Practice Address - Phone:770-425-2597
Practice Address - Fax:770-425-7717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)