Provider Demographics
NPI:1245909571
Name:BROWN SIGNATURE TRANSPORTATION AND MORE LLC
Entity type:Organization
Organization Name:BROWN SIGNATURE TRANSPORTATION AND MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TEEAHDRA
Authorized Official - Middle Name:ALBERTA NATHELSA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-410-0204
Mailing Address - Street 1:500 W FRANKLIN ST APT 1013
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-5657
Mailing Address - Country:US
Mailing Address - Phone:352-410-0204
Mailing Address - Fax:
Practice Address - Street 1:3036 FELDWOOD CT
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7221
Practice Address - Country:US
Practice Address - Phone:352-410-0204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker