person
Derrickah Tiarah Gardner
Non-emergency Medical Transport (VAN) in Riverdale, Georgia
NPI 1548905946

Derrickah Tiarah Gardner is a Non-emergency Medical Transport (VAN) based in Riverdale, GA. Derrickah Tiarah Gardner practices in Riverdale, GA. The NPI Number for Derrickah Tiarah Gardner is 1548905946 and holds a License No. (Georgia).

The current practice location address for Derrickah Tiarah Gardner is 1161 Pineglen Dr, Riverdale, GA and can be reached out via phone at 251-382-3621.

Location: 1161 Pineglen Dr, Riverdale, GA, 30296-3223
person
Provider Profile Details
NPI Number
1548905946
Provider Name
Derrickah Tiarah Gardner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1161 Pineglen Dr, Riverdale, GA, 30296-3223
Phone Number
251-382-3621
Fax Number
Provider Enumeration Date
04/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1161 Pineglen Dr
City
State
Zip
30296-3223
Phone Number
251-382-3621
Fax Number
person
Provider Business Mailing Address Details
Address
1161 Pineglen Dr
City
State
Zip
30296-3223
Phone Number
251-382-3621
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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