OrganizationActive
Medivan Transport, LLC
NPI 1972863181 · Non-emergency Medical Transport (VAN) · Lyons, GA
Provider details
- NPI number
- 1972863181
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Paula Copeland, Manager(912) 526-0859
Specialties & taxonomies
Transportation Services
Practice location
234 N Victory Dr
Lyons, GA 30436-1036
Phone: (912) 526-0859
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2
Uvalda, GA 30473-0002
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2012-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.