Provider Demographics
NPI:1669751368
Name:SMART TRANSPORTATION LLC
Entity type:Organization
Organization Name:SMART TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUER-MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-828-0220
Mailing Address - Street 1:1227 ROCKBRIDGE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3040
Mailing Address - Country:US
Mailing Address - Phone:404-828-0220
Mailing Address - Fax:404-890-5524
Practice Address - Street 1:1227 ROCKBRIDGE RD STE 208
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3040
Practice Address - Country:US
Practice Address - Phone:404-828-0220
Practice Address - Fax:404-890-5524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058599957343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)