Provider Demographics
NPI:1225905854
Name:T4TS TRANSPORT
Entity type:Organization
Organization Name:T4TS TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KISHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER-MULLIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-923-6967
Mailing Address - Street 1:25 FOURWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7838
Mailing Address - Country:US
Mailing Address - Phone:678-964-9874
Mailing Address - Fax:
Practice Address - Street 1:8218 HAZELBRAND RD NE STE C
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-1516
Practice Address - Country:US
Practice Address - Phone:678-964-9874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)