Provider Demographics
NPI:1750049193
Name:MABREY R DUFF
Entity Type:Organization
Organization Name:MABREY R DUFF
Other - Org Name:AT YOUR SERVICE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MABREY
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:186-580-3898
Mailing Address - Street 1:3206 KINGSMORE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-1450
Mailing Address - Country:US
Mailing Address - Phone:865-803-8981
Mailing Address - Fax:
Practice Address - Street 1:3206 KINGSMORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-1450
Practice Address - Country:US
Practice Address - Phone:865-803-8981
Practice Address - Fax:865-522-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1447926589OtherTYPE 1 NPI