Provider Demographics
NPI:1417601642
Name:PEARLS TRANSPORTATION LLC
Entity type:Organization
Organization Name:PEARLS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DION
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-352-9465
Mailing Address - Street 1:1319 JOHNSTON DR
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:256-419-2386
Practice Address - Street 1:1319 JOHNSTON DR
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4085
Practice Address - Country:US
Practice Address - Phone:205-352-9465
Practice Address - Fax:256-419-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty