Doctor Name: | TOTSSETA HEARN |
NPI Number: | 1871907071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 802061140 |
Business Practice Address: | 290 Alma Kirk Rd De Kalb, MS - 393288144 |
Business Phone Number: | 6015758932 |
Business Fax Number: | 6017434173 |
Mailing Address: | 290 Alma Kirk Rd, DE KALB |
State: | MS |
Postal Code: | 393288144 |
Phone Number: | 6015758932 |
Fax Number: | 6017434173 |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | 802061140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |