Individual provider · Type 1 NPI

Derrickah Tiarah Gardner

Non-emergency Medical Transport (VAN) · Riverdale, GA

NPI number 1548905946 Active · reactivated Aug 6, 2024

Practice location

1161 Pineglen Dr
Riverdale, GA 30296-3223

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1548905946

Derrickah Tiarah Gardner's National Provider Identifier is 1548905946, issued on Apr 29, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Riverdale, GA. The record was last updated on Aug 6, 2024.