Individual provider · Type 1 NPI
Antionete Lasha Irvin
Private Vehicle · Palmetto, GA
NPI number
1033910898
Active
Practice location
519 Snowfall Ter
Palmetto, GA 30268-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1033910898
Antionete Lasha Irvin's National Provider Identifier is 1033910898, issued on Mar 19, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Palmetto, GA. The record was last updated on Mar 19, 2025.