Provider Demographics
NPI:1437852639
Name:PRIORITY ONE TRANSPORTATION
Entity type:Organization
Organization Name:PRIORITY ONE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYYID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-468-5746
Mailing Address - Street 1:PO BOX 681
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-0681
Mailing Address - Country:US
Mailing Address - Phone:470-749-4004
Mailing Address - Fax:
Practice Address - Street 1:722 BASSWOOD AVE
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-8745
Practice Address - Country:US
Practice Address - Phone:678-468-5746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)