IndividualActive
Agostino Siaw
NPI 1972343663 · Non-emergency Medical Transport (VAN) · Johnson City, TN
Provider details
- NPI number
- 1972343663
- Entity type
- Individual
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Sex
- Male
- Sole proprietor
- Yes
- License
- 119299284 (TN)
Specialties & taxonomies
Transportation Services
Practice location
3101 Browns Mill Road
Ste 6 # 333
Johnson City, TN 37604
Phone: (423) 408-2778
Approximate (ZIP-level) locationGet directions
Mailing address
3101 Browns Mill Road
Johnson City, TN 37604
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.