NPI 1972863181
Medivan Transport, LLC
Practice location
- Address
- 234 N Victory Dr, Lyons, GA 30436-1036
- Phone
- (912) 526-0859
- Mailing address
- PO Box 2, Uvalda, GA 30473-0002
Authorised official
- Name
- Paula D Copeland
- Title
- Manager
- Phone
- (912) 526-0859
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1972863181
- Entity type
- Organization
- NPI issued
- 22 May 2012
- Record last updated
- 22 May 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.