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

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone 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.