Provider Demographics
NPI:1992481204
Name:DDG TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:DDG TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-930-1513
Mailing Address - Street 1:7312 MAITLAND LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-9062
Mailing Address - Country:US
Mailing Address - Phone:704-930-1513
Mailing Address - Fax:
Practice Address - Street 1:7312 MAITLAND LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-9062
Practice Address - Country:US
Practice Address - Phone:704-930-1513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)