# SOUTHMED AMBULANCE SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154824563
- **Authorized official:** JAMES DERICK PEARSON (DIRECTOR)
- **Authorized official phone:** (803) 968-3009

## Contact information

- **Practice address:** 1150 BROAD ST STE 3, SUMTER, SC 29150-1997
- **Practice address phone:** (803) 968-3009
- **Mailing address:** 3150 ASHLYNN WAY, SUMTER, SC 29154-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 05/04/2022