Provider Demographics
NPI:1205590445
Name:FLUDD, CURTIS JEROME
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:JEROME
Last Name:FLUDD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LET'S GO
Other - Middle Name:TRANSPORTATATION
Other - Last Name:SERVICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1816 GROUND PINE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8120
Mailing Address - Country:US
Mailing Address - Phone:843-327-2011
Mailing Address - Fax:843-459-2717
Practice Address - Street 1:1816 GROUND PINE DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-8120
Practice Address - Country:US
Practice Address - Phone:843-327-2011
Practice Address - Fax:843-459-2717
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
08012018OtherLET'S GO TRANSPORTATION SERVICE, LLC