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Mr. Ticco Darrell Pruitt SR.
Non-emergency Medical Transport (VAN) in Memphis, Tennessee
NPI 1982973947

Ticco Darrell Pruitt SR. is a Non-emergency Medical Transport (VAN) based in Memphis, TN. Ticco Darrell Pruitt SR. practices in Memphis, TN. The NPI Number for Ticco Darrell Pruitt SR. is 1982973947 and holds a License No. (Tennessee).

The current practice location address for Ticco Darrell Pruitt SR. is 3030 Covington Pike, Memphis, TN and can be reached out via phone at 901-870-2670.

Location: 3030 Covington Pike, Memphis, TN, 38128-5048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982973947
Provider Name
Ticco Darrell Pruitt SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3030 Covington Pike, Memphis, TN, 38128-5048
Phone Number
901-870-2670
Fax Number
Provider Enumeration Date
12/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3030 Covington Pike
City
Memphis
State
Tennessee
Zip
38128-5048
Phone Number
901-870-2670
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Covington Pike
City
Memphis
State
Tennessee
Zip
38128-5048
Phone Number
901-870-2670
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Tennessee)
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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