Provider Demographics
NPI:1699483602
Name:ROAD RUNNERS TRANSPORTATION
Entity type:Organization
Organization Name:ROAD RUNNERS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRIELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-812-4067
Mailing Address - Street 1:53 MIDDLEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:SC
Mailing Address - Zip Code:29940-3207
Mailing Address - Country:US
Mailing Address - Phone:843-812-4067
Mailing Address - Fax:
Practice Address - Street 1:102 JOE FRAZIER RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-8891
Practice Address - Country:US
Practice Address - Phone:843-812-4067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle