Provider Demographics
NPI:1790125938
Name:MARSHALL WORLD EMPIRE COACH/N.E.T.
Entity Type:Organization
Organization Name:MARSHALL WORLD EMPIRE COACH/N.E.T.
Other - Org Name:MARSHALL WORLD EMPIRE MOTOR COACH/N.E.T.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:SHELDON
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-514-2584
Mailing Address - Street 1:7737 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2418
Mailing Address - Country:US
Mailing Address - Phone:404-514-2584
Mailing Address - Fax:
Practice Address - Street 1:7737 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2418
Practice Address - Country:US
Practice Address - Phone:404-397-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No347B00000XTransportation ServicesBus