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Organization
PORT CITY AMBULANCE SERVICE LLC
Active
Organization
PORT CITY AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E PEAGLER (MANAGING MEMBER)
(843) 270-2391
Entity
Organization
Contact information
Practice address
543 LONG POINT RD STE 104, MOUNT PLEASANT, SC 29464-8360
(843) 800-1112
(843) 972-3040
Mailing address
222 W COLEMAN BLVD STE 124, MOUNT PLEASANT, SC 29464-3588
(843) 800-1112
(843) 972-3040
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
632
SC DHEC
SC
Enumeration date
09/26/2018
Last updated
04/19/2022
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