Provider Demographics
NPI:1619152584
Name:R&J TRANSPORTATION
Entity Type:Organization
Organization Name:R&J TRANSPORTATION
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-552-8202
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30264-0726
Mailing Address - Country:US
Mailing Address - Phone:678-552-8202
Mailing Address - Fax:770-304-4547
Practice Address - Street 1:71 AUTUMN LN
Practice Address - Street 2:71 AUMTUM LANE
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2941
Practice Address - Country:US
Practice Address - Phone:678-552-8202
Practice Address - Fax:770-304-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA-14754343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)