Provider Demographics
NPI:1891417572
Name:PREMIUM TRUCKING & LOGISTICS, LLC
Entity Type:Organization
Organization Name:PREMIUM TRUCKING & LOGISTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATONA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-400-3964
Mailing Address - Street 1:4009 CHASE POINT PL
Mailing Address - Street 2:
Mailing Address - City:JOELTON
Mailing Address - State:TN
Mailing Address - Zip Code:37080-7709
Mailing Address - Country:US
Mailing Address - Phone:615-400-3964
Mailing Address - Fax:
Practice Address - Street 1:4009 CHASE POINT PL
Practice Address - Street 2:
Practice Address - City:JOELTON
Practice Address - State:TN
Practice Address - Zip Code:37080-7709
Practice Address - Country:US
Practice Address - Phone:615-400-3964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle