Provider Demographics
NPI:1912760364
Name:GOLDEN MILES TRANSPORTATION
Entity Type:Organization
Organization Name:GOLDEN MILES TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:C
Authorized Official - Last Name:PELT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:470-209-4327
Mailing Address - Street 1:1727 SAINT IVES CROSSING
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9010
Mailing Address - Country:US
Mailing Address - Phone:470-209-4327
Mailing Address - Fax:678-528-2889
Practice Address - Street 1:1727 SAINT IVES CROSSING
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9010
Practice Address - Country:US
Practice Address - Phone:678-528-2889
Practice Address - Fax:678-528-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)