Provider Demographics
NPI:1932944493
Name:GREENVILLE TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:GREENVILLE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-565-6809
Mailing Address - Street 1:1578 ASHLAND DR APT A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0801
Mailing Address - Country:US
Mailing Address - Phone:252-565-6809
Mailing Address - Fax:
Practice Address - Street 1:1578 ASHLAND DR APT A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-0801
Practice Address - Country:US
Practice Address - Phone:252-565-6809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company