Individual ProviderAntwana SmithNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address824 Grays Creek Ln, Charlotte, NC 28214-8326(386) 873-8114PECOS EnrollmentBased on the most recent information from CMS, provider Antwana Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255957080Provider TypeIndividualFull NameSmith, AntwanaGenderFemaleSole ProprietorYesEnumeration Date6/17/2020Last Updated6/17/2020Contact InformationPractice LocationPractice Address824 Grays Creek Ln, Charlotte, NC 28214-8326Phone(386) 873-8114FaxUnlisted FaxMailing LocationMailing Address824 Grays Creek Ln, Charlotte, NC 28214-8326PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer