SOUTHERN CUSTOMZ LLC NPI 1073906996

NPI Information

  • NPI: 1073906996
  • Provider Name: SOUTHERN CUSTOMZ LLC
  • Classification: Private Vehicle - 347C00000X
  • Entity Type: Organization
  • Address: 390 ROBIN WAY
    EAST DUBLIN, GA
    ZIP 31027
  • Phone: (470) 217-5857

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NPI Details

SOUTHERN CUSTOMZ LLC is a private vehicle in East Dublin, GA. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. SOUTHERN CUSTOMZ LLC NPI is 1073906996. The provider is registered as an organization entity type.

The provider's business location address is:

390 ROBIN WAY
EAST DUBLIN, GA
ZIP 31027-694
Phone: (470) 217-5857
Fax: (478) 304-1254

The provider's authorized official is Johnard Mclendon .
The authorized official title is Ceo and has the following contact phone number (470) 217-5857.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347C00000XPrivate VehicleYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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