Provider Demographics
NPI:1912364530
Name:J&A TRANSPORT
Entity Type:Organization
Organization Name:J&A TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:LEVON
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:252-450-9746
Mailing Address - Street 1:2452 DICKENS RD
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-8039
Mailing Address - Country:US
Mailing Address - Phone:252-450-9746
Mailing Address - Fax:252-641-1477
Practice Address - Street 1:2452 DICKENS RD
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-8039
Practice Address - Country:US
Practice Address - Phone:252-450-9746
Practice Address - Fax:252-641-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle