Provider Demographics
NPI:1255087136
Name:TALTON TRANSPORT
Entity type:Organization
Organization Name:TALTON TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-399-7005
Mailing Address - Street 1:12 RADLEY CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7722
Mailing Address - Country:US
Mailing Address - Phone:864-399-7005
Mailing Address - Fax:
Practice Address - Street 1:122 OLD MILL RD STE G
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5351
Practice Address - Country:US
Practice Address - Phone:864-399-7005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)