Provider Demographics
NPI:1811542061
Name:WHAT ABOUT US TRANSPORT SERVICE CORPORATION
Entity Type:Organization
Organization Name:WHAT ABOUT US TRANSPORT SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNADY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-644-7549
Mailing Address - Street 1:3320 AUSTIN PEAY HWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-3802
Mailing Address - Country:US
Mailing Address - Phone:901-896-4991
Mailing Address - Fax:855-595-7195
Practice Address - Street 1:3320 AUSTIN PEAY HWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-3802
Practice Address - Country:US
Practice Address - Phone:901-203-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ050147Medicaid