Individual provider · Type 1 NPI
Mutiat B. Bamgbala, PROVIDER
Private Vehicle · Lexington, NC
NPI number
1205528635
Active
Practice location
254 Ashfield Ln
Lexington, NC 27292-8348
Mailing address
355 Faith Rd
Salisbury, NC 28146-7007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Transportation Network Company | 342000000X | 000048761695 (NC) |
| Private Vehicle Primary | 347C00000X | 000048761695 (NC) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Another provider at this address
Other private vehicle providers in Lexington
About NPI 1205528635
Mutiat B. Bamgbala, PROVIDER's National Provider Identifier is 1205528635, issued on May 24, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Lexington, NC. The record was last updated on Oct 6, 2023.