Provider Demographics
NPI:1780466177
Name:PREMIER TRANSPORT SERVICES LLC
Entity type:Organization
Organization Name:PREMIER TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTLEDGE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:901-574-9279
Mailing Address - Street 1:879 WILLOW TREE CIR STE 106
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-3121
Mailing Address - Country:US
Mailing Address - Phone:190-164-3691
Mailing Address - Fax:
Practice Address - Street 1:879 WILLOW TREE CIR STE 106
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-3121
Practice Address - Country:US
Practice Address - Phone:190-164-3691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company