Provider Demographics
NPI:1386380780
Name:TJ&J TRANSPORTATION LLC
Entity type:Organization
Organization Name:TJ&J TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRETHA
Authorized Official - Middle Name:VINESSA
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-832-5415
Mailing Address - Street 1:136 N 10TH ST APT 704
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:GA
Mailing Address - Zip Code:30436-7294
Mailing Address - Country:US
Mailing Address - Phone:904-832-4315
Mailing Address - Fax:
Practice Address - Street 1:136 N 10TH ST APT 704
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:GA
Practice Address - Zip Code:30436-7294
Practice Address - Country:US
Practice Address - Phone:904-832-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)