Provider Demographics
NPI:1548926553
Name:EMPOWER SHUTTLE & LUXURY TRANSPORTATION SERVICES OF GEORGIA
Entity type:Organization
Organization Name:EMPOWER SHUTTLE & LUXURY TRANSPORTATION SERVICES OF GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRELL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-876-7829
Mailing Address - Street 1:4850 SUGARLOAF PKWY STE 209-344
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-2859
Mailing Address - Country:US
Mailing Address - Phone:770-876-7829
Mailing Address - Fax:
Practice Address - Street 1:4850 SUGARLOAF PKWY STE 209-344
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-2859
Practice Address - Country:US
Practice Address - Phone:770-876-7829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company