Provider Demographics
NPI:1386375087
Name:CAROLINA TRANSPORT ALLIANCE, INC.
Entity type:Organization
Organization Name:CAROLINA TRANSPORT ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-287-9970
Mailing Address - Street 1:PO BOX 39518
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-1027
Mailing Address - Country:US
Mailing Address - Phone:252-287-9970
Mailing Address - Fax:
Practice Address - Street 1:1251 ARROW PINE DR STE E109
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5591
Practice Address - Country:US
Practice Address - Phone:252-287-9970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company